2023 House Bill 4224 / 2024 Public Act 253

Human services: medical services; workforce engagement requirements for Healthy Michigan plan; repeal.

An act to amend 1939 PA 280, entitled “An act to protect the welfare of the people of this state; to provide general assistance, hospitalization, infirmary and medical care to poor or unfortunate persons; to provide for compliance by this state with the social security act; to provide protection, welfare and services to aged persons, dependent children, the blind, and the permanently and totally disabled; to administer programs and services for the prevention and treatment of delinquency, dependency and neglect of children; to create a state department of social services; to prescribe the powers and duties of the department; to provide for the interstate and intercounty transfer of dependents; to create county and district departments of social services; to create within certain county departments, bureaus of social aid and certain divisions and offices thereunder; to prescribe the powers and duties of the departments, bureaus and officers; to provide for appeals in certain cases; to prescribe the powers and duties of the state department with respect to county and district departments; to prescribe certain duties of certain other state departments, officers, and agencies; to make an appropriation; to prescribe penalties for the violation of the provisions of this act; and to repeal certain parts of this act on specific dates,” by repealing sections 107a and 107b (MCL 400.107a and 400.107b).

House Fiscal Agency Analysis

House Bill 4224 would repeal the Healthy Michigan Plan work requirements. Under a waiver granted by the Centers for Medicare and Medicaid Services (CMS), the 2018 legislation created workforce engagement requirements for beneficiaries enrolled in the Healthy Michigan Plan (HMP), Michigan’s Medicaid expansion program, and established reporting and verification criteria for those required to prove their compliance with those workforce engagement requirements.

Introduced in the House

March 9, 2023

Introduced by Rep. Julie Rogers (D-41) and 21 co-sponsors

Co-sponsored by Reps. Kelly Breen (D-21), Donavan McKinney (D-14), Felicia Brabec (D-33), Carrie Rheingans (D-47), Helena Scott (D-7), Rachel Hood (D-81), Jimmie Wilson (D-32), Dylan Wegela (D-26), Natalie Price (D-5), Samantha Steckloff (D-19), Penelope Tsernoglou (D-75), Mike McFall (D-8), Tyrone Carter (D-1), Kristian Grant (D-82), Lori Stone (D-13), Sharon MacDonell (D-56), Cynthia Neeley (D-70), Stephanie Young (D-16), Will Snyder (D-87), Abraham Aiyash (D-9) and Karen Whitsett (D-4)

Referred to the Committee on Health Policy

March 23, 2023

Reported without amendment

Nov. 13, 2024

Passed in the House 56 to 53 (details)

Motion to give immediate effect by Rep. Abraham Aiyash (D-9)

The motion prevailed by voice vote

Received in the Senate

Nov. 26, 2024

Referred to the Committee on Housing and Human Services

Dec. 10, 2024

Reported without amendment

Dec. 11, 2024

Referred to the Committee of the Whole

Dec. 18, 2024

Reported without amendment

Dec. 20, 2024

Amendment offered by Sen. Thomas Albert (R-18)

1. Amend page 1, following line 2, by inserting:

“Enacting section 2. This amendatory act does not take effect unless all of the following bills of the 102nd Legislature are enacted into law:

(a) Senate Bill No. 846.

(b) Senate Bill No. 847.”.

The amendment failed 17 to 21 (details)

Passed in the Senate 20 to 18 (details)

Signed by Gov. Gretchen Whitmer

Jan. 21, 2025