Public Act 100 of 2007

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• Introduced by Sen. Tom George (R) on January 10, 2007, to require the Department of Human Services to seek federal permission to use Medicaid funds to create incentives for individual recipients who practice specified positive health behaviors. (Not smoking, losing weight, and actually showing up for doctor's appointments have been specified in earlier proposals by the sponsor.) The incentives may include expanded benefits; positive or negative incentives relating to premiums, co-pays, or benefits; and more. The bill would also allow the Department of Community Health to create pay-for-performance incentives for contracted Medicaid HMOs that meet health outcome targets for chronic diseases, and patient compliance targets established by the department. It would allow the department to establish a preferred provider program for durable medical equipment, and provide financial support using Medicaid funds for electronic health records, including e-prescriptions, web-based medical records and other health information technology initiatives.
  • Referred to the Senate Health Policy Committee on January 10, 2007.
    • Reported in the Senate on February 20, 2007, with the recommendation that the substitute (S-1) be adopted and that the bill then pass.
  • Substitute offered in the Senate on February 21, 2007, to replace the previous version of the bill with one that revises details but does not change the substance of the bill as previously described. The substitute passed by voice vote in the Senate on February 21, 2007.
• Passed 37 to 0 in the Senate on February 22, 2007, to require the Department of Human Services to seek federal permission to use Medicaid funds to create incentives for individual recipients who practice specified positive health behaviors. (Not smoking, losing weight, actually showing up for doctor's appointments are some of the these.) The incentives may include expanded benefits; positive or negative incentives relating to premiums, co-pays, or benefits; and more. The bill would also allow the Department of Community Health to create pay-for-performance incentives for contracted Medicaid HMOs that meet health outcome targets for chronic diseases, and patient compliance targets established by the department. It would allow the department to establish a preferred provider program for durable medical equipment, and provide financial support using Medicaid funds for electronic health records, including e-prescriptions, web-based medical records and other health information technology initiatives.
  Who Voted "Yes" and Who Voted "No"
• Received in the House on February 22, 2007.
  • Referred to the House Health Policy Committee on February 22, 2007.
  • Substitute offered by Rep. Kathy Angerer (D) on September 30, 2007, to replace the previous version of the bill with one that "tie bars" the bill to Houses Bills 5194 and 5198, tax hikes that total $1.5 billion. The substitute passed by voice vote in the House on September 30, 2007.
• Passed 107 to 2 in the House on September 30, 2007, to require the Department of Human Services to seek federal permission to use Medicaid funds to create incentives for individual recipients who practice specified positive health behaviors. (Not smoking, losing weight, actually showing up for doctor's appointments are some of the these.) The incentives may include expanded benefits; positive or negative incentives relating to premiums, co-pays, or benefits; and more. The bill would also allow the Department of Community Health to create pay-for-performance incentives for contracted Medicaid HMOs that meet health outcome targets for chronic diseases, and patient compliance targets established by the department. It would allow the department to establish a preferred provider program for durable medical equipment, and provide financial support using Medicaid funds for electronic health records, including e-prescriptions, web-based medical records and other health information technology initiatives. Passage of the bill occurred as part of a deal to avoid reducing state spending in the 2007-2008 Fiscal Year by imposing $1.5 billion in tax increases, including an income tax hike (House Bill 5194) a new 6 percent tax on many personal and business services (House Bill 5198).
  Who Voted "Yes" and Who Voted "No"
• Received in the Senate on September 30, 2007, to concur with the House-passed version of the bill, which tie-bars it to a state income tax hike (House Bill 5194) and a new 6 percent tax on many personal and business services (House Bill 5198), part of a deal to avoid spending cuts in the Fiscal Year 2007-2008 budget. Passed 38 to 0 in the Senate on September 30, 2007.
  Who Voted "Yes" and Who Voted "No"
• Signed by Gov. Jennifer Granholm on October 1, 2007.