All Roll Calls
Yes: 132 • No: 3
MichiganHB 47262025-2026 Regular SessionHouse
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)
Signed by Governor
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
1 provisions identified: 0 benefits, 1 costs, 0 mixed.
County nursing home payment limits last longer
The law extends payment limits for Michigan counties that own Medicaid nursing homes through December 31, 2030. When the calculated rate exceeds the September 30, 1984 rate, the limit holds it to that older rate. In each later county fiscal year, increases cannot exceed $1 per patient day. The limit ends earlier if the calculated rate falls below the 1984 rate or a new payment system replaces it. This does not directly change Medicaid eligibility or benefits.
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
12/18/2025SenateINSERTED 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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