To repeal a 6 percent use tax on medical services health care providers, and replace it with a 1 percent tax on health insurance claims. These taxes are designed to “game” the federal Medicaid system in ways that result in higher federal payments to Michigan’s medical welfare system. This bill creates the new tax.   Official Text and Analysis.

To discharge the Committee on Appropriations from further consideration of the bill, and move it directly to the full Senate for a vote.

To replace the previous version of the bill with one that caps at $400 million the total annual amount of revenue the new tax would be allowed to extract.

To require the state to post information on a website on the "compliance, effectiveness, and efficiency" of health insurance providers.

To appropriate $5.9 million from the proposed tax to a "Healthy Michigan Fund," undoing a cut of that amount to this program adopted as part of the 2012 budget.

To exempt school district employee health insurance from the claims tax.

To revise details of the tax as applied to self-funded group insurance claims.

To appropriate $31.8 million from the proposed tax to a graduate medical education subsidy program defunded in the 2012 budget.

To exempt supplementary Medicare plans from the tax.

To authorize a credit against the proposed tax in the amount of insurance company premium taxes paid on group disability and dental insurance policies.

To state explicitly that the proposed tax is in fact a tax and not an "assessment".

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

To replace the previous version of the bill with one that revises various details, but does was superseded by another substitute with more changes (see Moss substitute).

To replace the previous version of the bill with one that exempts federal medical social welfare program claims, and tightens the cap on the amount of revenue the revenue the tax could collect.

To exempt health insurance provided to local government and public school employees from the tax.

To label the tax a tax instead of an "assessment".

To exempt group disability and dental insurance policy claims from the tax (by means of a tax credit to the insurer).

To strip-out a $1 million appropriation to set up the tax collection apparatus, and an annual earmark of 1 percent of the revenue it collects to pay for its administration.

To concur with the House-passed version of the bill.