To provide the “template” or “place holder” for a Senate Republican version of a Fiscal Year 2004-2005 Department of Community Health budget. This bill contains no appropriations, but may be amended at a later date to include them.   Official Text and Analysis.

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

To replace the executive proposal for this budget, contained in Senate Bill 1036 , with a budget that expresses policy differences between the Republican-majority in the Senate and Governor Jennifer Granholm on certain spending items and funding sources. See Senate-passed version for major features, and Senate Fiscal Agency analysis for detailed analysis (the “Text and Analysis” tab at the top of this bill’s MichiganVotes.org page is a link to this).

To require that certain money appropriated to boost the pay of nursing home workers must go to the workers directly.

To increase spending for various Medicaid services.

To add $5 million to the extra money paid to hospitals with a high proportion of Medicaid patients, and revise the proposed new formula by which the money is distributed to hospitals. Under the current formula, many hospitals with a large number of Medicaid patients do not get this money because their relative proportion of Medicaid patients is less than certain metro-Detroit area hospitals. The new formula would reduce payments to Detroit-area hospitals by approximately $4.3 million.

The Senate version of the Fiscal Year (FY) 2004-2005 Department of Community Health budget. (Note: Gov. Jennifer Granholm’s proposed budget for this department is Senate Bill 1036 .) This appropriates $9.637 billion in adjusted gross spending (including restricted fund and federal dollars), compared to $9.417 million, which was the FY 2003-2004 amount enrolled in 2003. Of this, $2.974 million will come from the general fund (funded by actual state tax revenues), compared to the FY 2003-2004 amount of $2.561 million. Medicaid spending rises $229.5 million over the previous year. The Senate version authorizes approximately $95 million less gross spending than the governor recommended, but $500 million more general fund spending, mainly because it does not include some $400 million in new tobacco tax and estate tax revenue proposed by the governor. Much more information on Michigan’s budget is available at Hot Topics: Michigan’s Budget Challenge at www.mackinac.org/4964.

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

To replace the Senate version of this budget with a House version which expresses policy differences between the bodies on certain spending items. See House-passed version for details.

To add $248,200 for the Morris Hood diabetes center in Detroit.

To maintain employee compensation levels mandated by an appropriation that has been granted in the past to enhance the pay of nursing home workers. The amendment prohibits any increase or decrease in the amount of the mandated “wage pass-through” compensation level.

The House version of the Fiscal Year (FY) 2004-2005 Department of Community Health budget. (Note: Gov. Jennifer Granholm’s proposed budget for this department is Senate Bill 1036 .) This appropriates $9.664 billion in adjusted gross spending (including restricted fund and federal dollars), compared to $9.417 million, which was the FY 2003-2004 amount enrolled in 2003. Of this, $2.465 million will come from the general fund (funded by actual state tax revenues), compared to the FY 2003-2004 amount of $2.561 million. Medicaid spending rises $229.5 million over the previous year. The House version authorizes approximately $68 million less gross spending than the governor recommended, and $11 million less general fund spending. It appropriates $419 million in new tobacco tax revenue (see House Bill 5632) and tobacco revenue previously earmarked for the “rainy day” fund. Much more information on Michigan’s budget is available at Hot Topics: Michigan’s Budget Challenge at www.mackinac.org/4964.

To concur with a House-passed version of the bill. The vote sends the bill to a House-Senate conference committee to work out the differences.

The House-Senate conference report for the Fiscal Year (FY) 2004-2005 Department of Community Health budget. This appropriates $1.013 billion in adjusted gross spending (including state restricted fund and federal dollars), compared to $9.417 million, which was the FY 2003-2004 amount enrolled in 2003. Of this, $2.558 million will come from the general fund (funded by actual state tax revenues), compared to the FY 2003-2004 amount of $2.561 million. The budget incorporates revenue from a 75-cent per pack increase in the state cigarette tax.