The Michigan Department of Health & Human Services (MDHHS) recent policy for Psychiatric Residential Treatment Facilities (PRTF) went into effect Dec. 1, 2023.
Initially released for comment in May 2023, the MHA provided feedback on the proposed rule to ensure that a final policy adequately captured clinical workflow, while balancing access, service availability, insurance coverage and evidence-based clinical care.
The proposed rule was adopted as written and outlines essential elements of a PRTF program, including:
Certification and Certificate of Need.
Provider certification criteria.
Patient eligibility requirements.
Service authorization.
Responsibilities of prepaid inpatient health plans, PRTF and referring providers.
Provider requirements, including reimbursement and staff education.
Coverage of out-of-state services.
Members with questions about the PRTF model may contact Lauren LaPine at the MHA.
The Michigan Department of Licensing and Regulatory Affairs (LARA) recently published updated rules related to hospitals. Those updates include the following:
Final EMS Life Support Agencies and Medical Control Rule: The final rule, effective May 19, 2023, discontinues the Certificate of Need of air ambulance services and updates the medical care requirements for air ambulance services.
Final Center Fill Pharmacies Rule: The final rule, effective May 19, 2023, updates record timelines for keeping prescriptions on file and defining central fill and shared pharmacy services.
Draft Board of Nursing – General Rules: The latest Board of Nursing draft rules address the NCLEX examination, clarify nursing education program requirements and continuing education, and modify the nurse professional fund scholarship program requirements.
Members with questions should contact Renée Smiddy at the MHA.
The Michigan Legislature advanced several hospital-related bills during the week of June 13. Most notably, the Senate advanced a $590 million supplemental appropriations bill related to behavioral health. Several other policy bills the MHA is watching also received committee action in the House and Senate.
The supplemental funding bill that includes the MHA’s request to support behavioral health was approved by the state Senate. Senate Bill (SB) 714, introduced by Senate Majority Leader Mike Shirkey (R-Jackson), would appropriate $590 million and includes several MHA-supported one-time line items for behavioral health. Included in the supplemental bill is $100 million in infrastructure grants for pediatric inpatient psychiatric services, $20 million in infrastructure grants for hospital behavioral health intake enhancements, $25 million to prepare for the expansion of the essential health provider loan repayment program, and $30 million to expand the state’s apprenticeship program for new behavioral health staff. The legislation now moves to the House for its consideration as the Legislature continues its work on the fiscal year 2023 state budget.
The House Health Policy Committee took testimony on a package of Certificate of Need (CON) bills that were reintroduced from the 2019-2020 session. Senate Bills (SBs) 181, 182, 183 and 190 would remove psychiatric bed capacity from CON oversight, increase the threshold for capital expenditures, increase the number of members on the CON Commission and remove air ambulance services from CON. The bills were introduced by Sens. Curt VanderWall (R-Ludington), Lana Theis (R-Brighton) and Michael MacDonald (R-Macomb Township). The MHA opposes the tie-barred package of bills and provided written testimony to the committee in support of Michigan’s current CON program. No votes were held on the bills.
The House Health Policy Committee also heard testimony on bills to change lead testing requirements for children. House Bills (HBs) 4678 and 4679, introduced by Reps. John Cherry (D-Flint) and Helena Scott (D-Detroit), would require minors to be screened for lead poisoning between the ages of 9 and 12 months and the ages of 2 and 3 years old and would include this information as part of the child’s immunization record. Providers would also be expected to identify high risk factors such as the age of the child’s residence, but it is unclear how penalties would be assessed for the new requirements. The MHA has not yet taken a position on the bills but will continue to monitor any action taken.
In the Senate Health Policy and Human Services Committee,bills to allow Michigan to join the Psychology Interjurisdictional Compact were taken up again. This compact is a legal agreement among states that creates an expedited pathway to licensure for psychologists who wish to practice telepsychiatry across state lines. HBs 5488 and 5489 were introduced by Reps. Bronna Kahle (R-Adrian) and Felicia Brabec (D-Pittsfield Township), respectively, and are supported by the MHA. The bills now go to the Senate floor for a final vote and, if approved, will be sent to the governor desk for final consideration.
The Senate Health Policy and Human Services Committee also took upHB 5163, which was introduced by Rep. Angela Witwer (D-Delta Township) and would create an opt-out grant program for hospitals to establish medication-assisted treatment (MAT) for substance use disorders in their emergency departments. Hospitals provided MAT programs prior to introduction of the bill, and the MHA has already partnered with the Michigan Department of Health and Human Services to implement the first round of grants provided under this legislation. No hospitals would be required to participate in the program. HB 5163 was advanced to the Senate floor for further action.
For more information on these and other state bills related to healthcare, contact Adam Carlson at the MHA.
