All Roll Calls
Yes: 132 • No: 3
MichiganHB 47262025-2026 Regular SessionHouseWALLET
Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset. Amends sec. 109 of 1939 PA 280 (MCL 400.109). Last Action: assigned PA 45'25 with immediate effect
Sponsored By: Matt Bierlein (Republican)
Became Law
Health facilities: county medical care facilitiesHuman services: medical servicesLaw: sunsetState agencies (existing): health and human services
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 2 benefits, 2 costs, 1 mixed.
More Medicaid-covered care and drugs
Michigan Medicaid covers more care. It pays for hospital stays, surgery, childbirth, and inpatient mental health treatment when needed. It pays for nursing home care in licensed facilities when your provider says it is needed; Medicare must be billed first if it could pay. It covers medically necessary opioid detox, inpatient treatment, and licensed residential care. You can get drugs from a pharmacist you choose with a doctor or dentist prescription. New parents get postpartum mental health screenings, and labs must list eGFR percent on creatinine tests.
County nursing home funding rules through 2030
Counties must pay a nursing home maintenance-of-effort amount set by formula. The rate equals 45% of the gap between updated variable costs and the class cost limit per patient day; hospital-attached facilities use the state plan limit plus $5.00. The rate cannot be below $0 and cannot rise by more than $1.00 per patient day each county fiscal year. If the new rate is higher than the county’s rate on September 30, 1984, the 1984 rate stays in place until December 31, 2030 or until a new system starts. Plant costs are still reimbursed using interest and depreciation.
Psychiatric care limited by funding
Medicaid psychiatric care follows department rules and is limited to the money the legislature provides each year. Services are only available up to that yearly funding level.
Medicaid doctor pay capped at Medicare
Michigan ties Medicaid doctor payments to Medicare rates in the state. For authorized services, doctors cannot be paid more than Medicare pays. This can lower revenue for some practices that treat Medicaid patients.
Extra review for big Medicaid pay changes
Before the state changes Medicaid payment methods or levels, the director must give public notice. If a change shifts payments by 1% or more in the first 12 months, the House and Senate appropriations committees must approve it. This adds oversight and can slow large payment changes.
Sponsors & Cosponsors
Sponsor
Matt Bierlein
Republican • House
Cosponsors
David Martin
Republican • House
Ken Borton
Republican • House
Steve Frisbie
Republican • House
Roll Call Votes
Senate vote • 12/18/2025
PASSED; GIVEN IMMEDIATE EFFECT
Yes: 35 • No: 0 • Other: 2
House vote • 11/6/2025
passed; given immediate effect
Yes: 97 • No: 3 • Other: 10
Actions Timeline
assigned PA 45'25 with immediate effect
12/31/2025Housefiled with Secretary of State 12/23/2025 11:42 AM
12/31/2025Houseapproved by the Governor 12/23/2025 10:12 AM
12/31/2025Housepresented to the Governor 12/22/2025 01:54 PM
12/23/2025Housebill ordered enrolled
12/18/2025Housefull title agreed to
12/18/2025Housereturned from Senate without amendment with immediate effect and full title
12/18/2025HouseRETURNED TO HOUSE
12/18/2025HouseINSERTED FULL TITLE
12/18/2025SenatePASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 361 YEAS 35 NAYS 0 EXCUSED 2 NOT VOTING 0
12/18/2025SenatePLACED ON IMMEDIATE PASSAGE
12/18/2025SenateRULES SUSPENDED
12/18/2025SenatePLACED ON ORDER OF THIRD READING
12/18/2025SenateREPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S)
12/18/2025SenateRULES SUSPENDED FOR IMMEDIATE CONSIDERATION
12/18/2025SenatePLACED ON ORDER OF GENERAL ORDERS
12/18/2025SenateDISCHARGE COMMITTEE APPROVED
12/18/2025SenateREFERRED TO COMMITTEE ON HEALTH POLICY
11/12/2025SenatePASSED BY HOUSE WITH IMMEDIATE EFFECT
11/12/2025Housetransmitted
11/6/2025Housepassed; given immediate effect Roll Call #294 Yeas 97 Nays 3 Excused 0 Not Voting 10
11/6/2025Houseread a third time
11/6/2025Houseplaced on third reading
11/5/2025Houseread a second time
11/5/2025Housereferred to second reading
10/29/2025House
Bill Text
Public Act
12/23/2025
House Concurred
12/18/2025
As Passed by the House
11/6/2025
Introduced
7/15/2025
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