Bill > SB0180

This bill appropriates $39,318,554,700 for the Department of Health and Human Services for the fiscal year ending September 30, 2026, and provides for the expenditure of these funds. * **Departmental Administration and Support:** $276,305,400 appropriated from various federal, state restricted, local, private, and general fund/general purpose revenues. This includes funding for unclassified salaries, administrative hearings officers, child welfare institute, coordinated children's healthcare policy and supports, demonstration projects, departmental administration and management, legal services, office of inspector general, property management, terminal leave payments, training and program support, and worker's compensation. * **Child Support Enforcement:** $195,036,000 appropriated from federal revenues and state general fund/general purpose revenues. This covers child support enforcement operations, child support incentive payments, and legal support contracts. * **Community Services and Outreach:** $197,187,100 appropriated from federal revenues, state general fund/general purpose revenues, and other state restricted revenues. This funds various programs including the bureau of community services and outreach, community services block grant, diaper assistance grant, homeless programs, housing and support services, kids' food basket, permanent supportive housing, runaway and homeless youth grants, school success partnership program, senior university, and weatherization assistance. * **Children's Services Agency - Child Welfare:** $1,543,510,500 appropriated from federal, state restricted, local, private, and general fund/general purpose revenues. This covers adoption subsidies, adoption support services, attorney general contract, child abuse and neglect programs, child care fund, child protection, child welfare licensing, child welfare medical/psychiatric evaluations, children's protective services, children's services administration, children's trust fund, contractual services, court-appointed special advocates, education planners, family preservation programs, foster care payments, juvenile justice reform, peer coaches, permanency resource managers, prosecuting attorney contracts, second line supervisors, settlement monitor, strong families/safe children, title IV-E compliance, and youth in transition. * **Children's Services Agency - Juvenile Justice:** $39,388,700 appropriated from federal, local, and state general fund/general purpose revenues. This funds Bay Pines Center, committee on juvenile justice, community support services, county juvenile officers, juvenile justice administration and maintenance, and the Michigan youth treatment center. * **Public Assistance:** $4,064,209,400 appropriated from federal, state restricted, and state general fund/general purpose revenues. This covers emergency services local office allocations, family independence program, food assistance program benefits, food bank council of Michigan, indigent burial, low-income home energy assistance program, Michigan energy assistance program, prenatal and infant support program, refugee assistance program, state disability assistance payments, state supplementation, and water affordability. * **Local Office Operations and Support Services:** $766,162,400 appropriated from interdepartmental grants, federal revenues, special revenue funds, and state general fund/general purpose revenues. This includes funding for administrative support workers, adult services local office staff, contractual services, donated funds positions, Elder Law of Michigan MiCAFE contract, electronic benefit transfer, employment and training support services, food assistance reinvestment, local office policy and administration, local office staff travel, medical/psychiatric evaluations, nutrition education, and pathways to potential. * **Disability Determination Services:** $126,086,600 appropriated from interdepartmental grants, federal revenues, and state general fund/general purpose revenues for disability determination operations and retirement disability determination. * **Behavioral Health Program Administration and Special Projects:** $293,588,200 appropriated from federal, special revenue, and state general fund/general purpose revenues. This covers behavioral health program administration, community substance use disorder prevention, gambling addiction, mental health diversion council, Michigan clinical consultation and care, office of recipient rights, opioid response activities, and protection and advocacy services support. * **Behavioral Health Services:** $5,651,183,600 appropriated from federal, special revenue, and state general fund/general purpose revenues. This funds autism services, behavioral health community supports and services, certified community behavioral health clinics, civil service charges, community mental health non-Medicaid services, federal mental health block grant, health homes, healthy Michigan plan behavioral health, Medicaid mental health services, Medicaid substance use disorder services, multicultural integration funding, nursing home PAS/ARR-OBRA, and state disability assistance program substance use disorder services. * **State Psychiatric Hospitals and Forensic Mental Health Services:** $381,653,400 appropriated from federal, local, private, other state restricted, and state general fund/general purpose revenues. This covers Caro Regional Mental Health Center, Center for Forensic Psychiatry, developmental disabilities council and projects, gifts and bequests, IDEA federal special education, Kalamazoo Psychiatric Hospital, purchase of medical services, revenue recapture, special maintenance, state hospital administration, and Walter P. Reuther Psychiatric Hospital. * **Health and Human Services Policy and Initiatives:** $208,407,400 appropriated from interdepartmental grants, federal revenues, special revenue funds, and state general fund/general purpose revenues. This funds cellular therapy for Versiti Michigan, certificate of need program administration, child advocacy centers, community health programs, crime victim grants, domestic violence prevention and treatment, human trafficking intervention services, Michigan essential health provider, minority health grants, nurse education and research, policy and planning administration, primary care services, rape prevention and services, rural health services, and the uniform statewide sexual assault evidence kit tracking system. * **Epidemiology, Emergency Medical Services, and Laboratory:** $201,609,500 appropriated from interdepartmental grants, federal revenues, special revenue funds, and state general fund/general purpose revenues. This covers bioterrorism preparedness, childhood lead program, emergency medical services program, epidemiology administration, healthy homes program, laboratory services, newborn screening, PFAS and environmental contamination response, and vital records and health statistics. * **Local Health and Administrative Services:** $287,459,400 appropriated from federal, special revenue, and state general fund/general purpose revenues. This funds AIDS prevention, cancer prevention, chronic disease control, diabetes and kidney program, essential local public health services, implementation of 1993 PA 133, local health services, Medicaid outreach, public health administration, sexually transmitted disease control, smoking prevention, and violence prevention. * **Family Health Services:** $435,427,400 appropriated from federal, local, private, other state restricted, and state general fund/general purpose revenues. This covers child and adolescent health care, dental programs, drinking water declaration of emergency, family maternal and child health administration, family planning local agreements, immunization program, local MCH services, pregnancy prevention program, prenatal care outreach and service delivery support, special projects, sudden and unexpected infant death and suffocation prevention program, and women, infants, and children program. * **Children's Special Health Care Services:** $410,374,800 appropriated from federal, private, other state restricted, and state general fund/general purpose revenues. This funds bequests for care and services, children's special health care services administration, medical care and treatment, and outreach and advocacy. * **Aging Services:** $127,853,500 appropriated from federal, private, Michigan merit award trust fund, other state restricted, and state general fund/general purpose revenues. This covers community services, employment assistance, nutrition services, respite care program, and senior volunteer service programs. * **Health and Aging Services Administration:** $151,880,500 appropriated from federal, local, private, other state restricted, and state general fund/general purpose revenues. This funds aging services administration and health services administration. * **Health Services:** $23,268,014,300 appropriated from federal, local, private, Michigan merit award trust fund, other state restricted, and state general fund/general purpose revenues. This covers adult home help services, ambulance services, auxiliary medical services, dental clinic program, dental services, federal Medicare pharmaceutical program, federally qualified health centers, health plan services, healthy Michigan plan, home health services, hospice services, hospital services and therapy, integrated care organizations, long-term care services, maternal and child health, Medicaid home- and community-based services waiver, Medicaid orthodontic benefit, Medicare premium payments, mothering justice, personal care services, pharmaceutical services, physician services, program of all-inclusive care for the elderly, school-based services, special Medicaid reimbursement, and transportation. * **Information Technology:** $542,866,100 appropriated from interdepartmental grants, federal revenues, special revenue funds, and state general fund/general purpose revenues. This funds Bridges information system, child support automation, comprehensive child welfare information system, information technology services and projects, Michigan Medicaid information system, and Michigan statewide automated child welfare information system. * **One-Time Appropriations:** $150,350,500 appropriated from state general fund/general purpose revenues for various pilot programs and initiatives, including addiction pilot program, adoption placement software pilot project, affordable housing project, air quality sensor pilot project, alternative payment model, cancer drug repository program, community-based care project, community mental health projects, continuous eligibility study, dementia support, dental programs, diaper assistance procurement, disability and independent living program, family planning local agreements, food pantry grants, health and wellness program, health workforce development, Hispanic maternal mortality study, hospital infrastructure grant, incarcerate individuals community reentry Medicaid benefit, liver screening pilot project, maternal electronic health records pilot project, medical debt relief pilot program, menopause initiatives, Michigan nurse scholarship, nonprofit mental health clinic, primary care clinic, social determinants of health hub, state psych DSH disallowance, underserved healthcare facility project, and uterine fibroid study.