2025 House Bill 4726 / Public Act 45

Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset.

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 amending section 109 (MCL 400.109), as amended by 2024 PA 248.

AI Analysis – Experimental

House Bill No. 4726 amends the Michigan Social Welfare Act to extend the current Medicaid nursing home reimbursement rate system for county-owned facilities through 2030, clarifies eligible medical services, and strengthens oversight of reimbursement changes, thereby affecting healthcare access and funding for low-income and vulnerable residents.

Introduced in the House

July 15, 2025

Introduced by Rep. Matt Bierlein (R-97) and three co-sponsors

Co-sponsored by Reps. Ken Borton (R-105), Steve Frisbie (R-44) and David Martin (R-68)

Referred to the Committee on Insurance

Oct. 29, 2025

Reported without amendment

Nov. 6, 2025

Passed in the House 97 to 3 (details)

Motion to give immediate effect by Rep. Bryan Posthumus (R-90)

The motion prevailed by voice vote

Received in the Senate

Nov. 12, 2025

Referred to the Committee on Health Policy

Dec. 18, 2025

Discharged from committee

Referred to the Committee of the Whole

Reported without amendment

Passed in the Senate 35 to 0 (details)

Motion to give immediate effect by Sen. Sam Singh (D-28)

The motion prevailed by voice vote

Signed by Gov. Gretchen Whitmer

Dec. 23, 2025