to adopt substitute (H-2) for HB 4235.
Representative Whiteford moved to adopt substitute (H-2) for HB 4235. The motion prevailed by a vote of 28-0-0. FAVORABLE ROLL CALL: Yeas: Reps. Hernandez, Miller, Albert, Allor, Brann, VanSingel, Whiteford, Yaroch, Bollin, Glenn, Green, Huizenga, Lightner, Maddock, Slagh, VanWoerkom, Hoadley, Love, Pagan, Hammoud, Peterson, Sabo, Anthony, Brixie, Cherry, Hood, Kennedy, and Tate. Nays: None. Pass: None. Representative Kennedy offered the following amendment for HB 4235, as substitute (H-2): 1. Amend page 1, following line 5 by striking out the balance of Part 1 and inserting: "DEPARTMENT OF HEALTH AND HUMAN SERVICES APPROPRIATION SUMMARY: Full-time equated unclassified positions ......... 6.0 Full-time equated classified positions ...... 15,967.0 Average population ............................. 770.0 GROSS APPROPRIATION ............................................................................ $ 26,036,356,800 Interdepartmental grant revenues: Total interdepartmental grants and intradepartmental transfers ....................... 13,857,600 ADJUSTED GROSS APPROPRIATION ........................................................ $ 26,022,499,200 Federal revenues: Social security act, temporary assistance for needy families…………………. 558,757,400 Capped federal revenues ................................................................................... 574,298,200 Total other federal revenues .............................................................................. 17,003,645,700 Special revenue funds: Total local revenues ............................................................................................ 155,805,900 Total private revenues ......................................................................................... 143,535,100 Michigan merit award trust fund ......................................................................... 49,768,700 Total other state restricted revenues .................................................................... 2,825,929,100 State general fund/general purpose ...................................................................... $ 4,710,759,100 Sec. 102. DEPARTMENTAL ADMINISTRATION AND SUPPORT Full-time equated unclassified positions ......... 6.0 Full-time equated classified positions ......... 809.6 Unclassified salaries--6.0 FTE positions .................................................................. $ 1,223,600 Administrative hearings officers ................................................................................ 11,157,000 Demonstration projects--7.0 FTE positions ................................................................. 7,358,400 Departmental administration and management--601.6 FTE positions ...................... 95,382,700 Michigan community service commission--14.0 FTE positions ............................... 10,682,400 Office of inspector general--187.0 FTE positions ..................................................... 23,683,400 Property management ................................................................................................ 68,243,100 Terminal leave payments ............................................................................................. 7,302,700 Worker's compensation ................................................................................................ 6,674,900 GROSS APPROPRIATION ................................................................................. $ 231,708,200 Appropriated from: Interdepartmental grant revenues: IDG from department of education ............................................................................. 1,943,300 IDG from department of technology, management, and budget – office of retirement services……………………………………………………………………………….. 600 Federal revenues: Social security act, temporary assistance for needy families ..................................... 22,972,900 Capped federal revenues ............................................................................................. 31,019,200 Total other federal revenues ....................................................................................... 69,609,500 Special revenue funds: Total local revenues ................................................................................................... 86,000 Total private revenues ................................……………………………………….…. 3,887,300 Total other state restricted revenues .............................................................................. 1,270,100 State general fund/general purpose ....................................................................... $ 100,919,300 Sec. 103. CHILD SUPPORT ENFORCEMENT Full-time equated classified positions ......... 185.7 Child support enforcement operations--179.7 FTE positions .................................. $ 22,909,500 Child support incentive payments ............................................................................... 24,409,600 Legal support contracts .............................................................................................. 113,027,100 State disbursement unit--6.0 FTE positions .................................................................. 8,148,600 GROSS APPROPRIATION ................................................................................... $ 168,494,800 Appropriated from: Federal revenues: Total other federal revenues ....................................................................................... 142,584,500 State general fund/general purpose ........................................................................... $ 25,910,300 Sec. 104. COMMUNITY SERVICES AND OUTREACH Full-time equated classified positions .......... 65.6 Bureau of community services and outreach--20.0 FTE positions ........................... $ 3,439,300 Campus sexual assault prevention and education initiative ............................................ 500,000 Child advocacy centers--0.5 FTE position ................................................................... 1,907,000 Community services and outreach administration--12.0 FTE positions....................... 1,672,200 Community services block grant ................................................................................ 25,840,000 Crime victim grants administration services--17.0 FTE positions ………………..…. 2,236,000 Crime victim justice assistance grants ........................................................................ 99,279,300 Crime victim rights services grants ............................................................................. 18,870,000 Domestic violence prevention and treatment--15.6 FTE positions ............................. 17,915,700 Homeless programs ..................................................................................................... 22,632,700 Housing and support services ...................................................................................... 13,031,000 Rape prevention and services--0.5 FTE position .......................................................... 5,097,300 School success partnership program ................................................................................ 525,000 Uniform statewide sexual assault evidence kit tracking system ...................................... 800,000 Weatherization assistance ........................................................................................... 15,505,000 GROSS APPROPRIATION .................................................................................. $ 229,250,500 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families ..................................... 13,189,800 Capped federal revenues ............................................................................................. 58,883,000 Total other federal revenues ...................................................................................... 115,569,800 Special revenue funds: Compulsive gambling prevention fund .......................................................................... 1,040,500 Sexual assault evidence tracking fund ............................................................................... 800,00 Sexual assault victims' prevention and treatment fund ……………………….………..3,000,000 Child advocacy centers fund .......................................................................................... 1,407,000 Crime victim's rights fund ............................................................................................ 17,690,600 State general fund/general purpose ........................................................................... $ 17,669,800 Sec. 105. CHILDREN'S SERVICES AGENCY – CHILD WELFARE Full-time equated classified positions ....... 4,046.2 Adoption subsidies .................................................................................................. $ 198,618,200 Adoption support services--10.0 FTE positions ........................................................... 33,338,800 Attorney general contract ............................................................................................... 5,001,100 Child abuse and neglect - children's justice act--1.0 FTE position .......................... 626,400 Child care fund ........................................................................................................ 230,299,200 Child protection ....................................................................................................... 800,300 Child welfare administration travel ......................................................................... 375,000 Child welfare field staff - caseload compliance-- 2,461.0 FTE positions ................ 237,427,400 Child welfare field staff - noncaseload compliance-- 353.0 FTE positions ……..... 39,335,100 Child welfare first line supervisors--578.0 FTE positions........................................ 75,243,900 Child welfare institute--51.0 FTE positions ............................................................. 9,315,000 Child welfare licensing--59.0 FTE positions ........................................................... 7,120,300 Child welfare medical/psychiatric evaluations ........................................................ 9,835,500 Children's protective services staffing enhancement--175.0 FTE positions ............. 18,618,000 Children's services administration--169.2 FTE positions ........................................ 19,812,900 Children's trust fund--12.0 FTE positions ................................................................ 4,167,900 Contractual services, supplies, and materials ............................................................ 10,155,600 Education planners--15.0 FTE positions .................................................................... 1,579,200 Family preservation and prevention services administration--9.0 FTE positions…... 1,342,900 Family preservation programs--14.0 FTE positions .................................................. 44,833,400 Foster care payments ................................................................................................ 258,590,700 Guardianship assistance program ............................................................................. 10,534,500 Interstate compact ...................................................................................................... 179,600 Peer coaches--45.5 FTE positions .............................................................................. 5,922,300 Performance based funding implementation--3.0 FTE positions .............................. 1,454,500 Permanency resource managers--28.0 FTE positions ................................................ 3,317,600 Prosecuting attorney contracts .................................................................................... 3,879,500 Second line supervisors and technical staff--54.0 FTE positions ............................... 9,184,800 Settlement monitor ...................................................................................................... 2,034,100 Strong families/safe children ..................................................................................... 12,600,000 Title IV-E compliance and accountability office--4.0 FTE positions........................ 435,700 Youth in transition--4.5 FTE positions ................................................................... 15,545,100 GROSS APPROPRIATION ................................................................................ $ 1,271,524,500 Appropriated from: Interdepartmental grant revenues: IDG from department of education ................................................................................ 90,300 Federal revenues: Social security act, temporary assistance for needy families ................................ 344,848,900 Capped federal revenues ........................................................................................ 113,096,100 Total other federal revenues .................................................................................... 256,368,600 Special revenue funds: Private - collections ................................................................................................. 1,770,700 Local funds - county chargeback ............................................................................. 40,914,500 Children's trust fund ................................................................................................ 2,897,300 State general fund/general purpose ......................................................................... $ 511,538,100 Sec. 106. CHILDREN'S SERVICES AGENCY – JUVENILE JUSTICE Full-time equated classified positions ......... 120.5 Bay Pines Center--47.0 FTE positions ................................................................. $ 5,502,800 Committee on juvenile justice administration--2.5 FTE positions ........................................................................................................................... 356,300 Committee on juvenile justice grants ............................................................................ 3,000,000 Community support services--3.0 FTE positions .......................................................... 2,129,400 County juvenile officers ................................................................................................ 3,904,300 Juvenile justice, administration and maintenance--21.0 FTE positions ................................................................................................................. 2,817,900 Shawono Center--47.0 FTE positions ............................................................................ 5,566,800 GROSS APPROPRIATION ..................................................................................... $ 23,277,500 Appropriated from: Federal revenues: Capped federal revenues ................................................................................................ 8,556,700 Total other federal revenues ......................................................................................................... 0 Special revenue funds: Local funds - state share education funds ...................................................................... 1,355,700 Local funds - county chargeback ................................................................................... 4,698,000 State general fund/general purpose ............................................................................. $ 8,667,100 Sec. 107. PUBLIC ASSISTANCE Full-time equated classified positions ........... 3.0 Emergency services local office allocations ............................................................... $ 9,007,500 Family independence program ..................................................................................... 65,774,800 Food assistance program benefits ........................................................................... 1,760,805,700 Food Bank Council of Michigan .................................................................................... 2,045,000 Indigent burial ................................................................................................................ 3,875,000 Low-income home energy assistance program .......................................................... 174,951,600 Michigan energy assistance program--1.0 FTE position ……………………………. 50,000,000 Multicultural integration funding ................................................................................. 15,303,800 Refugee assistance program--2.0 FTE positions ............................................................ 3,050,400 State disability assistance payments ............................................................................... 6,567,500 State supplementation .................................................................................................. 58,903,400 State supplementation administration ............................................................................ 1,806,100 GROSS APPROPRIATION ................................................................................ $ 2,152,090,800 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families ....................................... 64,425,800 Capped federal revenues ............................................................................................ 178,186,500 Total other federal revenues .................................................................................... 1,756,605,700 Special revenue funds: Child support collections .............................................................................................. 11,250,200 Supplemental security income recoveries ...................................................................... 4,142,700 Public assistance recoupment revenue ........................................................................... 5,000,000 Low-income energy assistance fund ............................................................................ 50,000,000 Total other state restricted revenues ............................................................................................. 0 State general fund/general purpose ........................................................................... $ 82,479,900 Sec. 108. FIELD OPERATIONS AND SUPPORT SERVICES Full-time equated classified positions ....... 5,814.5 Administrative support workers--221.0 FTE positions ……………………………. $ 13,397,000 Adult services field staff--520.0 FTE positions ........................................................... 58,058,800 Contractual services, supplies, and materials ............................................................... 16,927,600 Donated funds positions--238.0 FTE positions ............................................................ 27,558,000 Elder Law of Michigan MiCAFE contract ........................................................................ 350,000 Electronic benefit transfer (EBT) ................................................................................... 6,809,000 Employment and training support services .................................................................... 4,219,100 Field policy and administration--66.0 FTE positions ………………………………... 11,464,100 Field staff travel ............................................................................................................. 8,111,400 Medical/psychiatric evaluations ..................................................................................... 1,420,100 Nutrition education--2.0 FTE positions ....................................................................... 33,050,400 Pathways to potential--231.0 FTE positions ................................................................ 24,417,400 Public assistance field staff--4,516.5 FTE positions ……………………………….. 475,336,000 Training and program support--20.0 FTE positions ....................................................... 2,516,600 GROSS APPROPRIATION ................................................................................... $ 683,635,500 Appropriated from: Interdepartmental grant revenues: IDG from department of corrections ................................................................................. 121,500 IDG from department of education ................................................................................ 7,873,100 Federal revenues: Social security act, temporary assistance for needy families ....................................... 73,165,600 Capped federal revenues .............................................................................................. 55,481,700 Total other federal revenues ....................................................................................... 264,635,900 Special revenue funds: Local funds - donated funds ........................................................................................... 4,102,000 Private funds - donated funds ......................................................................................... 9,395,600 State general fund/general purpose ......................................................................... $ 268,860,100 Sec. 109. DISABILITY DETERMINATION SERVICES Full-time equated classified positions ......... 575.4 Disability determination operations--571.3 FTE positions ..................................... $ 112,880,800 Retirement disability determination--4.1 FTE positions………………………………… 623,300 GROSS APPROPRIATION ................................................................................... $ 113,504,100 Appropriated from: Interdepartmental grant revenues: IDG from department of technology, management, and budget - office of retirement services ................................................................................ 799,900 Federal revenues: Total other federal revenues ....................................................................................... 108,388,000 State general fund/general purpose ............................................................................. $ 4,316,200 Sec. 110. BEHAVIORAL HEALTH PROGRAM ADMINISTRATION AND SPECIAL PROJECTS Full-time equated classified positions ......... 108.0 Behavioral health program administration--86.0 FTE positions................................ $ 49,886,700 Court-ordered assisted outpatient treatment ................................................................... 1,000,000 Family support subsidy ................................................................................................ 14,137,300 Federal and other special projects .................................................................................. 2,535,600 Gambling addiction--1.0 FTE position .......................................................................... 4,511,000 Mental health diversion council ..................................................................................... 4,350,000 Office of recipient rights--21.0 FTE positions ............................................................... 2,604,700 Protection and advocacy services support ......................................................................... 194,400 GROSS APPROPRIATION ..................................................................................... $ 79,219,700 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families ....................................... 14,317,800 Total other federal revenues ......................................................................................... 38,998,700 Special revenue funds: Total private revenues .................................................................................................... 1,004,700 Total other state restricted revenues ............................................................................... 4,511,000 State general fund/general purpose ........................................................................... $ 20,387,500 Sec. 111. BEHAVIORAL HEALTH SERVICES Full-time equated classified positions .......... 11.0 Autism services ....................................................................................................... $ 221,718,600 Children with serious emotional disturbance waiver ………………………………..... 8,600,000 Children's waiver home care program .......................................................................... 18,141,100 Civil service charges ......................................................................................................... 249,300 Community mental health non-Medicaid services ..................................................... 125,578,300 Community substance use disorder prevention, education, and treatment ……….... 108,254,700 Court-appointed guardian and conservator reimbursement…………………………… 2,700,000 Federal mental health block grant--4.0 FTE positions ………………………………. 20,573,800 Health homes .................................................................................................................. 3,369,000 Healthy Michigan plan - behavioral health ................................................................ 346,548,100 Medicaid mental health services ............................................................................. 2,478,086,100 Medicaid substance use disorder services .................................................................... 66,200,100 Nursing home PAS/ARR-OBRA--7.0 FTE positions .................................................. 12,291,300 GROSS APPROPRIATION ................................................................................ $ 3,412,310,400 Appropriated from: Federal revenues: Total other federal revenues ................................................................................... 2,241,530,100 Special revenue funds: Total local revenues .................................................................................................... 25,475,600 Total other state restricted revenues ........................................................................... 34,018,100 State general fund/general purpose ..................................................................... $ 1,111,286,600 Sec. 112. STATE PSYCHIATRIC HOSPITALS AND FORENSIC MENTAL HEALTH SERVICES Total average population ... 770.0 Full-time equated classified positions ...... 2,375.6 Caro Regional Mental Health Center – psychiatric hospital - adult - or regional mental health center located within 6 miles of the county seat of a county with a population between 55,000 and 57,000 in the 2010 decennial census--542.3 FTE positions …………………... $ 63,059,100 Average population ............................. 145.0 Center for forensic psychiatry--608.1 FTE positions ………………………………... 97,336,700 Average population ............................. 240.0 Developmental disabilities council and projects--10.0 FTE positions ........................... 3,108,100 Gifts and bequests for patient living and treatment environment …………………….. 1,000,000 Hawthorn Center - psychiatric hospital - children and adolescents--276.0 FTE positions ………………………………………………………………………………………... 32,624,400 Average population .............................. 55.0 IDEA, federal special education ........................................................................................ 120,000 Kalamazoo Psychiatric Hospital - adult--533.8 FTE positions .................................... 70,169,600 Average population ............................. 170.0 Purchase of medical services for residents of hospitals and centers ................................. 445,600 Revenue recapture ............................................................................................................. 750,100 Special maintenance .......................................................................................................... 924,600 Walter P. Reuther Psychiatric Hospital - adult--405.4 FTE positions ……………..... 58,426,600 Average population ... 160.0 GROSS APPROPRIATION ................................................................................... $ 327,964,800 Appropriated from: Federal revenues: Total other federal revenues ......................................................................................... 43,450,200 Special revenue funds: Total local revenues ..................................................................................................... 23,118,500 Total private revenues .................................................................................................... 1,000,000 Total other state restricted revenues ............................................................................. 15,101,200 State general fund/general purpose ......................................................................... $ 245,294,900 Sec. 113. HEALTH AND HUMAN SERVICES POLICY AND INITIATIVES Full-time equated classified positions ......... 606.7 Certificate of need program administration--11.8 FTE positions ............................... $ 2,770,900 Health policy administration--33.9 FTE positions ………………………………....... 14,217,200 Human trafficking intervention services ........................................................................... 200,000 Independent living ........................................................................................................ 15,531,600 Michigan essential health provider ................................................................................ 3,384,200 Michigan rehabilitation services--555.0 FTE positions…………………………….. 131,109,200 Minority health grants and contracts ................................................................................. 612,700 Nurse education and research program--3.0 FTE positions .............................................. 798,900 Primary care services--2.0 FTE positions ...................................................................... 3,631,000 Rural health services--1.0 FTE position ........................................................................ 1,555,500 GROSS APPROPRIATION ................................................................................... $ 173,811,200 Appropriated from: Interdepartmental grant revenues: IDG from department of education ....................................................................................... 2,400 IDG from department of licensing and regulatory affairs ................................................. 837,200 IDG from department of treasury, Michigan state hospital finance authority .................. 117,700 Federal revenues: Social security act, temporary assistance for needy families ………………………….... 332,100 Capped federal revenues ............................................................................................ 104,163,600 Total other federal revenues ......................................................................................... 24,765,000 Special revenue funds: Total local revenues ....................................................................................................... 5,300,000 Total private revenues .................................................................................................... 1,396,500 Total other state restricted revenues ............................................................................... 2,916,800 State general fund/general purpose ........................................................................... $ 33,979,900 Sec. 114. LABORATORY SERVICES Full-time equated classified positions ......... 102.0 Laboratory services--102.0 FTE positions ................................................................ $ 23,642,100 GROSS APPROPRIATION ..................................................................................... $ 23,642,100 Appropriated from: Interdepartmental grant revenues: IDG from department of environmental quality ............................................................ 1,004,600 Federal revenues: Total other federal revenues ........................................................................................... 4,338,600 Special revenue funds: Total other state restricted revenues ............................................................................. 12,147,200 State general fund/general purpose ............................................................................. $ 6,151,700 Sec. 115. EPIDEMIOLOGY AND POPULATION HEALTH Full-time equated classified positions ......... 250.5 Childhood lead program--4.5 FTE positions ............................................................... $ 2,062,200 Epidemiology administration--94.1 FTE positions ...................................................... 29,588,500 Healthy homes program--12.0 FTE positions .............................................................. 27,768,000 Newborn screening follow-up and treatment services--10.5 FTE positions …….......... 7,825,900 PFAS and environmental contamination response--48.0 FTE positions ..................... 23,871,800 Vital records and health statistics--81.4 FTE positions ................................................ 10,439,500 GROSS APPROPRIATION ................................................................................... $ 101,555,900 Appropriated from: Federal revenues: Capped federal revenues ..................................................................................................... 81,100 Total other federal revenues ......................................................................................... 41,423,800 Special revenue funds: Total private revenues ....................................................................................................... 347,000 Total other state restricted revenues ............................................................................. 14,529,500 State general fund/general purpose ........................................................................... $ 45,174,500 Sec. 116. LOCAL HEALTH AND ADMINISTRATIVE SERVICES Full-time equated classified positions ......... 145.0 AIDS prevention, testing, and care programs--37.7 FTE positions........................... $ 63,752,200 Cancer prevention and control program--15.0 FTE positions ..................................... 15,132,300 Chronic disease control and health promotion administration--23.4 FTE positions...... 8,555,000 Diabetes and kidney program--8.0 FTE positions ......................................................... 3,274,700 Essential local public health services ........................................................................... 45,419,300 Health and wellness initiatives--11.7 FTE positions ………………………………….. 8,076,900 Implementation of 1993 PA 133, MCL 333.17015 ............................................................ 20,000 Local health services--3.3 FTE positions ....................................................................... 7,209,100 Medicaid outreach cost reimbursement to local health departments ........................... 12,500,000 Public health administration--9.0 FTE positions ............................................................ 1,998,200 Sexually transmitted disease control program--20.0 FTE positions .............................. 6,376,500 Smoking prevention program--12.0 FTE positions ....................................................... 2,186,500 Violence prevention--4.9 FTE positions ........................................................................ 3,315,800 GROSS APPROPRIATION ................................................................................... $ 177,816,500 Appropriated from: Federal revenues: Total other federal revenues ......................................................................................... 73,049,200 Special revenue funds: Total local revenues ....................................................................................................... 5,150,000 Total private revenues .................................................................................................. 33,789,800 Total other state restricted revenues ............................................................................. 13,397,300 State general fund/general purpose ........................................................................... $ 52,430,200 Sec. 117. FAMILY HEALTH SERVICES Full-time equated classified positions ......... 128.9 Dental programs--3.8 FTE positions ........................................................................... $ 3,929,900 Family, maternal, and child health administration--53.3 FTE positions………………. 9,271,100 Family planning local agreements .................................................................................. 8,310,700 Immunization program--12.8 FTE positions ................................................................ 16,861,400 Local MCH services ....................................................................................................... 7,018,100 Pregnancy prevention program ......................................................................................... 602,100 Prenatal care outreach and service delivery support-- 14.0 FTE positions .................. 21,028,300 Special projects ..................................... 6,289,100 Sudden and unexpected infant death and suffocation prevention program ...................... 321,300 Women, infants, and children program administration and special projects --45.0 FTE positions...................................................................................................... 18,186,600 Women, infants, and children program local agreements and food costs ................. 231,285,000 GROSS APPROPRIATION ................................................................................... $ 323,103,600 Appropriated from: Federal revenues: Social security act, temporary assistance for needy families ............................................ 650,000 Total other federal revenues ....................................................................................... 243,388,500 Special revenue funds: Total local revenues ............................................................................................................ 75,000 Total private revenues .................................................................................................. 62,202,400 Total other state restricted revenues .................................................................................. 802,300 State general fund/general purpose ........................................................................... $ 15,985,400 Sec. 118. EMERGENCY MEDICAL SERVICES, TRAUMA, AND PREPAREDNESS Full-time equated classified positions .......... 76.0 Bioterrorism preparedness--53.0 FTE positions ....................................................... $ 30,522,900 Emergency medical services program--23.0 FTE positions…………………………... 6,594,100 GROSS APPROPRIATION ..................................................................................... $ 37,117,000 Appropriated from: Federal revenues: Total other federal revenues ......................................................................................... 31,532,200 Special revenue funds: Total other state restricted revenues ............................................................................... 4,004,900 State general fund/general purpose ............................................................................. $ 1,579,900 Sec. 119. CHILDREN'S SPECIAL HEALTH CARE SERVICES Full-time equated classified positions .......... 46.8 Bequests for care and services--2.8 FTE positions ..................................................... $ 1,841,400 Children's special health care services administration--44.0 FTE positions .................. 6,173,400 Medical care and treatment ........................................................................................ 228,477,000 Nonemergency medical transportation ............................................................................. 405,900 Outreach and advocacy .................................................................................................. 5,510,000 GROSS APPROPRIATION ................................................................................... $ 242,407,700 Appropriated from: Federal revenues: Total other federal revenues ....................................................................................... 130,314,400 Special revenue funds: Total private revenues .................................................................................................... 1,019,800 Total other state restricted revenues ............................................................................... 3,683,400 State general fund/general purpose ......................................................................... $ 107,390,100 Sec. 120. AGING AND ADULT SERVICES AGENCY Full-time equated classified positions .......... 47.0 Aging and adult services administration--47.0 FTE positions .................................... $ 8,727,600 Community services ..................................................................................................... 45,966,300 Employment assistance .................................................................................................. 3,500,000 Nutrition services ......................................................................................................... 42,254,200 Respite care program ...................................................................................................... 6,468,700 Senior volunteer service programs ................................................................................. 4,765,300 GROSS APPROPRIATION ................................................................................... $ 111,682,100 Appropriated from: Federal revenues: Capped federal revenues ................................................................................................... 249,700 Total other federal revenues ......................................................................................... 59,094,200 Special revenue funds: Total private revenues ....................................................................................................... 520,000 Michigan merit award trust fund .................................................................................... 4,068,700 Total other state restricted revenues ............................................................................... 2,000,000 State general fund/general purpose ........................................................................... $ 45,749,500 Sec. 121. MEDICAL SERVICES ADMINISTRATION Full-time equated classified positions ......... 406.0 Electronic health record incentive program .............................................................. $ 37,501,000 Healthy Michigan plan administration--36.0 FTE positions ........................................ 45,654,100 Medical services administration--370.0 FTE positions …………………………….... 79,221,500 GROSS APPROPRIATION ................................................................................... $ 162,376,600 Appropriated from: Federal revenues: Total other federal revenues ....................................................................................... 118,936,900 Special revenue funds: Total local revenues ............................................................................................................ 37,700 Total private revenues ....................................................................................................... 101,300 Total other state restricted revenues .................................................................................. 336,300 State general fund/general purpose ........................................................................... $ 42,964,400 Sec. 122. MEDICAL SERVICES Adult home help services ........................................................................................ $ 389,359,100 Ambulance services ...................................................................................................... 10,220,000 Auxiliary medical services ............................................................................................. 7,717,000 Dental clinic program ..................................................................................................... 1,000,000 Dental services ........................................................................................................... 330,631,700 Federal Medicare pharmaceutical program ................................................................ 293,038,500 Health plan services ................................................................................................ 5,253,661,300 Healthy Michigan plan ............................................................................................ 3,756,473,300 Home health services ..................................................................................................... 6,427,000 Hospice services ......................................................................................................... 164,561,000 Hospital disproportionate share payments ................................................................... 45,000,000 Hospital services and therapy ..................................................................................... 739,715,400 Integrated care organizations ..................................................................................... 250,392,300 Long-term care services .......................................................................................... 1,969,054,800 Maternal and child health ............................................................................................. 32,279,600 Medicaid home- and community-based services waiver ........................................... 384,148,500 Medicare premium payments .................................................................................... 645,422,100 Personal care services .................................................................................................... 8,437,000 Pharmaceutical services ............................................................................................. 355,456,000 Physician services ...................................................................................................... 212,479,300 Program of all-inclusive care for the elderly ............................................................. 128,210,000 School-based services ................................................................................................ 109,937,200 Special Medicaid reimbursement ............................................................................... 309,957,300 Transportation .............................................................................................................. 16,966,400 GROSS APPROPRIATION .............................................................................. $ 15,420,544,800 Appropriated from: Federal revenues: Total other federal revenues .................................................................................. 10,889,585,500 Special revenue funds: Total local revenues ..................................................................................................... 45,492,900 Total private revenues .................................................................................................... 2,100,000 Michigan merit award trust fund .................................................................................. 45,700,000 Total other state restricted revenues ........................................................................ 2,617,282,900 State general fund/general purpose ...................................................................... $ 1,820,383,500 Sec. 123. INFORMATION TECHNOLOGY Full-time equated classified positions .......... 43.0 Bridges information system ...................................................................................... $ 14,903,800 Child support automation ............................................................................................. 44,425,600 Information technology services and projects ............................................................ 193,183,100 Michigan Medicaid information system .................................................................... 104,287,600 Michigan statewide automated child welfare information system ............................... 28,365,800 Technology supporting integrated service delivery-- 43.0 FTE positions ………....... 73,533,000 GROSS APPROPRIATION ................................................................................... $ 458,698,900 Appropriated from: Interdepartmental grant revenues: IDG from department of education ................................................................................ 1,067,000 Federal revenues: Social security act, temporary assistance for needy families ....................................... 24,854,500 Capped federal revenues .............................................................................................. 24,580,600 Total other federal revenues ....................................................................................... 286,429,800 Special revenue funds: Total private revenues .................................................................................................. 25,000,000 Total other state restricted revenues ............................................................................... 1,999,800 State general fund/general purpose ........................................................................... $ 94,767,200 Sec. 124. ONE-TIME APPROPRIATIONS Autism navigator ......................................................................................................... $ 1,025,000 Child and adolescent health centers ............................................................................... 2,000,000 Co-responder crisis services pilot ....................................................................................... 60,000 Critical access hospitals ............................................................................................... 41,736,000 Dental clinic program .................................................................................................... 1,000,000 Drinking water declaration of emergency ..................................................................... 4,621,100 Greenlawn campus behavioral health pilot project ………………………………………...... 100 Healthy communities grant ............................................................................................... 300,000 Human trafficking survivors' assistance ............................................................................ 700,000 Information technology services and projects .............................................................. 47,000,000 Juvenile justice property projects ...................................................................................... 300,000 Kid's food basket ...................................................................................................................... 100 Lead exposure response and abatement ......................................................................... 3,434,500 Medicaid recipient engagement for self sufficiency ……………………………………….... 100 Multicultural integration funding ................................................................................... 1,381,100 Primary care and dental health services ................................................................................... 100 Property management projects ....................................................................................... 2,460,700 Runaway and homeless youth services program ............................................................ 1,500,000 Senior community services ...................................................................................................... 100 Sexual assault comprehensive services grants ......................................................................... 100 State innovation model continuation ........................................................................................ 200 Statewide health information exchange projects ...................................................................... 200 Substance abuse community and school outreach ............................................................ 100,000 Unified clinics resiliency center for families and children............................................. 3,000,000 Vision clinic grant .................................................................................................................... 100 Water utility assistance ............................................................................................................. 100 GROSS APPROPRIATION ................................................................................... $ 110,619,600 Appropriated from: Federal revenues: Total other federal revenues ......................................................................................... 63,046,600 Special revenue funds: Total private revenues .................................................................................................................. 0 Total other state restricted revenues .................................................................................. 700,000 State general fund/general purpose .......................................................................... $ 46,873,000" and adjusting the subtotals, totals, and section 201 accordingly. Representative Kennedy explained the amendment.