2007 House Bill 4185 / Public Act 85

Revise Medicaid "bed tax" earmark

Introduced in the House

Jan. 31, 2007

Introduced by Rep. George Cushingberry (D-8)

To earmark $66.4 million of the “Michigan Medicaid Quality Assurance Assessment” (MMQAA) bed tax on nursing homes and hospitals to the state general fund to cover Medicaid expenditures in hospitals in 2007 and 2008. This is up from $46.4 million. The MMQAA is a bed tax or fee on health care providers that is used to generate more federal Medicaid matching funds, resulting in a net gain for some but not all of the providers. This bill relates to how much of the money is take by the state and how much goes to the providers.

Referred to the Committee on Appropriations

March 27, 2007

Reported without amendment

With the recommendation that the substitute (H-1) be adopted and that the bill then pass.

April 17, 2007

Substitute offered

To replace the previous version of the bill with one that revises various details, but does not change its substance. This version was subsequently superseded by another substitute with more changes.

The substitute passed by voice vote

Substitute offered by Rep. George Cushingberry (D-8)

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

Passed in the House 59 to 48 (details)

To extend until 2011 the 2007 sunset on “Michigan Medicaid Quality Assurance Assessment” (MMQAA) bed tax on nursing homes and hospitals, and retain $66.4 million of the tax revenue to the state general fund to cover Medicaid expenditures in hospitals in Fiscal Year 2006-07 and FY 2007-08. This is up from $39.9 million retained by the state the previous year. The MMQAA is a bed tax or fee on health care providers that is used to generate more federal Medicaid matching funds, resulting in a net gain for some but not all of the providers. This bill relates to how much of the money is take by the state and how much goes to the providers.

Received in the Senate

April 19, 2007

Referred to the Committee on Appropriations

Sept. 19, 2007

Reported without amendment

With the recommendation that the substitute (S-1) be adopted and that the bill then pass.

Sept. 26, 2007

Substitute offered

To replace the previous version of the bill with one that also authorizes the state retaining $81.4 million from the tax in FY 2008-2008.

The substitute passed by voice vote

Passed in the Senate 37 to 1 (details)

To extend until 2011 the 2007 sunset on “Michigan Medicaid Quality Assurance Assessment” (MMQAA) bed tax on health care providers, and $66.4 million of the fee revenue to the state general fund to cover Medicaid expenditures in hospitals in Fiscal Year 2006-07 and $81.4 million in FY 2007-08. This is up from $46.4 million. The MMQAA is a bed tax or fee on health care providers that is used to generate more federal Medicaid matching funds, resulting in a net gain for some but not all of the providers. This bill relates to how much of the money is take by the state and how much goes to the providers.

Received in the House

Sept. 26, 2007

Sept. 30, 2007

Passed in the House 108 to 0 (details)

Signed by Gov. Jennifer Granholm

Sept. 30, 2007