2025 House Bill 4726

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

A bill to amend 1939 PA 280, entitled “The social welfare act,” 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