2001 House Bill 4057 / 2002 Public Act 303

Introduced in the House

Jan. 31, 2001

Introduced by Rep. Patricia Birkholz (R-88)

To require criminal background checks for employees of nursing homes, county medical care facilities, homes for the aged, and , adult foster care facilities. The bill is part of a legislative package comprised of House Bills 4057 and 4453.

Referred to the Committee on Senior Health, Security, and Retirement

May 1, 2001

Substitute offered

Which reflects changes adopted following committee testimony and discussion.

The substitute passed by voice vote

Amendment offered by Rep. Patricia Birkholz (R-88)

To revise the requirement in the bill for a particular form to be used.

The amendment passed by voice vote

Amendment offered by Rep. Patricia Birkholz (R-88)

To require consent of the prospective employee for an existing criminal background check report to be used in lieu of the bill's requirement of a new check.

The amendment passed by voice vote

May 2, 2001

Passed in the House 102 to 0 (details)

Received in the Senate

May 2, 2001

To require criminal background checks for employees of nursing homes, county medical care facilities, homes for the aged, and , adult foster care facilities. The bill is part of a legislative package comprised of House Bills 4057 and 4453.

April 30, 2002

Substitute offered

To replace the previous version of the bill with one which includes the “Michigan Medicaid Quality Assurance Assessment” (MMQAA) program announced by Gov. Engler on April 9, 2002. The program would impose a fee on nursing homes of $2.77 per bed daily. This would generate $44.7 million annually, which would enable the state to collect $55.6 million in new federal revenue. The entire amount of $100.7 million would then be returned to nursing homes in the form of a seven-percent increase in Medicaid reimbursements. However, the new fee would also apply to nursing homes that do not have any Medicaid-funded residents, and these would therefore not receive additional funds. Federal law requires that these assessments be established in state law in order to receive the additional money. The substitute also has a provision to allow Metropolitan Hospital in Grand Rapids Hospital to move 10 miles south, thereby circumventing the Certificate of Need process which regulates hospital capacity.

The substitute passed by voice vote

May 1, 2002

Amendment offered by Sen. Bob Emerson (D-29)

To strip out a provision to allow Metropolitan Hospital in Grand Rapids Hospital to move 10 miles south, thereby circumventing the Certificate of Need process which regulates hospital capacity.

The amendment passed by voice vote

Amendment offered by Sen. Joel Gougeon (R-34)

To clarify certain language contained in the bill. These changes do not affect the substance as previously described.

The amendment passed by voice vote

Passed in the Senate 29 to 8 (details)

To require criminal background checks for employees of nursing homes, county medical care facilities, homes for the aged, and , adult foster care facilities. The bill is part of a legislative package comprised of House Bills 4057 and 4453. The bill was used a legislative "vehicle" for the “Michigan Medicaid Quality Assurance Assessment” (MMQAA) program announced by Gov. Engler on April 9, 2002. The program would impose a fee on nursing homes of $2.77 per bed daily. This would generate $44.7 million annually, which would enable the state to collect $55.6 million in new federal revenue. The entire amount of $100.7 million would then be returned to nursing homes in the form of a seven-percent increase in Medicaid reimbursements. However, the new fee would also apply to nursing homes that do not have any Medicaid-funded residents, and these would therefore not receive additional funds. Federal law requires that these assessments be established in state law in order to receive the additional money.

Received in the House

May 1, 2002

Passed in the House 92 to 14 (details)

To concur with a Senate-passed version of the bill, which includes the nursing home background check provision, and adds the “Michigan Medicaid Quality Assurance Assessment” (MMQAA) program announced by Gov. Engler on April 9, 2002. The program would impose a fee on nursing homes of $2.77 per bed daily. This would generate $44.7 million annually, which would enable the state to collect $55.6 million in new federal revenue. The entire amount of $100.7 million would then be returned to nursing homes in the form of a seven-percent increase in Medicaid reimbursements. However, the new fee would also apply to nursing homes that do not have any Medicaid-funded residents, and these would therefore not receive additional funds. Federal law requires that these assessments be established in state law in order to receive the additional money.

Received in the Senate

May 1, 2002

Signed by Gov. John Engler

May 10, 2002