Bill Text: MI SB0897 | 2017-2018 | 99th Legislature | Introduced
Bill Title: Human services; medical services; recipient work engagement requirements for Healthy Michigan coverage; provide for and update waiver provisions for Healthy Michigan. Amends sec. 105d of 1939 PA 280 (MCL 400.105d) & adds secs. 107a & 107b.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Passed) 2018-09-05 - Assigned Pa 208'18 With Immediate Effect [SB0897 Detail]
Download: Michigan-2017-SB0897-Introduced.html
SENATE BILL No. 897
March 8, 2018, Introduced by Senators SHIRKEY, PAVLOV, HILDENBRAND, MACGREGOR, HUNE, EMMONS, BRANDENBURG, COLBECK, PROOS, SCHMIDT and ROBERTSON and referred to the Committee on Michigan Competitiveness.
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
(MCL 400.1 to 400.119b) by adding sections 107a and 107b.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 107a. (1) The purpose of adding work requirements to the
medical assistance program as provided in section 107b is to
utilize workforce demand to prepare an able-bodied adult for a life
of self-sufficiency and independence from government interference.
(2) As used in this section and section 107b:
(a) "Able-bodied adult" means an individual at least 18 years
of age who is physically and mentally capable of working.
(b) "Caretaker" means an individual who is acting as parent
for a child in the absence or because of the disability of the
child's parent or stepparent and who is the child's legal guardian,
grandparent, great grandparent, great-great grandparent, sibling,
stepsibling, aunt, great aunt, great-great aunt, uncle, great
uncle, great-great uncle, nephew, niece, first cousin, or first
cousin once-removed, a spouse of any person listed above, a parent
of the putative father, or an unrelated individual aged 21 or older
whose appointment as legal guardian of the child is pending.
(c) "Child" means an individual who is not emancipated under
1968 PA 293, MCL 722.1 to 722.6, who lives with a parent or
caretaker, and who is either of the following:
(i) Under the age of 18.
(ii) Age 18 and a full-time high school student.
(d) "Substance use disorder" means that term as defined in
section 100d of the mental health code, 1974 PA 258, MCL 330.1100d.
Sec. 107b. (1) No later than July 1, 2018, the department must
apply for a waiver under section 1115 of the social security act,
42 USC 1315, and annually as required after that to require work
requirements as a condition of receiving medical assistance under
this act, including, but not limited to, sections 105 and 105d. The
waiver must be a request to allow for, at a minimum, all of the
following:
(a) Work requirements aligned with the work requirements in
place for recipients of the federal supplemental nutrition
assistance program described under 7 CFR 273.7 to the extent
possible.
(b) Modification in work or community engagement requirements
for an individual who is classified as nondisabled under the state
medical assistance program but who may have a disability under the
Americans with disabilities act of 1990, Public Law 101-336.
(c) Modification for a substance use disorder which
modification allows an individual's time in medical treatment,
including, but not limited to, time in inpatient or intensive
outpatient treatment, to count toward the work or community
engagement requirement.
(2) After the waiver requested under this section is approved,
the department must include the following in its implementation of
the work requirements under this section:
(a) A requirement of 30 hours per week of work, job training
in an industry with proven demand, or education, or a combination
of any of the 3, to count toward the work requirement under this
section.
(b) Require able-bodied medical assistance recipients to
verify change in family income quarterly. If a medical assistance
recipient fails to report a change in family income or makes a
false statement in complying with this requirement, the individual
is prohibited from receiving medical assistance for 1 year.
(c) Allow for program features to be phased in or suspended as
necessary.
(d) An exemption for an individual who meets either of the
following conditions:
(i) An individual who is the sole caretaker of a family member
who is under the age of 90 days.
(ii) An individual who is currently receiving temporary or
permanent long-term disability benefits from a private insurer or
from the government.
(3) The department must first direct medical assistance
recipients to existing resources for job training or other
employment services, child care assistance, transportation, or
other supports. The department may develop strategies for assisting
medical assistance recipients to meet work and community engagement
requirements under this section.
(4) A deviation by the department from the work requirements
or community engagement requirements described in this section
shall result in a 5.0% reduction in funding of the number of
Medicaid FTE positions.
(5) Beginning July 1, 2018 and by July 1 each year after that,
the Medicaid director must submit to the governor, the senate
majority leader, and the speaker of the house of representatives a
letter confirming the submission of the waiver request required
under subsection (1).
(6) Beginning July 1, 2019, the department must complete an
evaluation of the medical assistance program under section 105d to
determine how many recipients have left the Healthy Michigan
program as a result of obtaining full-time employment with medical
benefits.
(7) Beginning July 1, 2019, and every July 1 after that, the
department shall submit a report to the legislature that shows
separately, for each of the following types of assistance, the
number of exemptions from work requirements granted to individuals
in that year and the reason the exemptions were granted:
(a) Medical assistance under section 105.
(b) Medical assistance under section 105d known as Healthy
Michigan.
(c) Family independence program assistance under this act.
Enacting section 1. This amendatory act takes effect 90 days
after the date it is enacted into law.
