Michigan House Bill 6293 establishes the MiNURSES program within the state health department to increase the recruitment, placement, and retention of primary care nurses in rural and urban underserved areas. The bill provides financial assistance for nursing education loans or scholarships to nurses who agree to a two-year service obligation working full-time in designated underserved locations. Payments are made as lump sums at the end of each year of service, funded by a new state treasury account that can receive money from various sources. An advisory commission is created to make recommendations on program operations, and the department must publish an annual report detailing the program's cost-effectiveness, successes, and challenges.
HB 6289 establishes the Primary Care Access, Improvement, and Transformation Commission within Michigan's Department of Health and Human Services to advise on strategies for expanding access to affordable primary care. The commission will consist of 21 members appointed by the governor from lists provided by various medical, nursing, hospital, and advocacy organizations, representing a broad range of stakeholders including physicians, community health workers, insurers, and patients. Its key duties include recommending ways to increase state spending on primary care by at least 12%, analyzing other states' models and federal innovation programs, and publishing an annual report on workforce trends, payer spending, and the impact of artificial intelligence. The bill also requires the commission to hold regional meetings for public feedback and mandates a review of its continued necessity after eight years, with the act itself expiring ten years after it takes effect.
Michigan House Bill 6292 establishes the Michigan Doctors in Underserved, Rural, and Systemic Equity Settings (MiDOCS) program within the state's Department of Health to address physician shortages in underserved communities. The bill requires the department to partner with medical schools to create at least one new primary care residency slot per school and to recruit physicians for these areas. In exchange for a two-year full-time service obligation in an assigned underserved community, the program provides participating physicians with loan repayment assistance paid annually upon completion of their service. Additionally, the legislation creates a dedicated state fund to finance the program and establishes an advisory commission composed of health sector representatives to guide its implementation and oversight.
Michigan House Bill 6295 creates a state grant program to help medical, nursing, and other health professions schools promote primary care careers to middle school and high school students. The Department of Health and Human Services would administer the program by awarding grants to eligible educational institutions that agree to conduct outreach activities targeting these younger student groups. A dedicated fund within the state treasury would support the grants, with money carried over from year to year rather than expiring. The department is also required to publish an annual public report detailing the program's cost-effectiveness, successes, challenges, and recommendations for future changes.
This resolution declares August 23-29, 2026, as Primary Care Week in the state of Michigan. It aims to raise public awareness about the importance of primary care services, which include prevention, wellness, and treatment for common illnesses. The measure highlights how a strong primary care network can help reduce preventable diseases and lower healthcare costs for individuals and families across urban, suburban, and rural areas.
Michigan House Bill 6288 directs the state Department of Health and Human Services to seek federal approval for enrolling specific Medicaid-eligible individuals into managed care plans, while requiring these plans to spend at least 12% of their annual budget on primary care over an eight-year period. The bill mandates that hospitals accept Medicare rates as full payment from uninsured patients with incomes up to 250% of the federal poverty level and establishes a performance bonus system for health plans based on quality metrics such as fraud detection, substance use disorder treatment, and consumer satisfaction. Additionally, it requires contracted health plans to submit annual reports detailing their primary care spending levels and outlines provisions for telemedicine access, pharmaceutical cost controls, and the sharing of state data with qualified vendors to improve population health management.
Michigan House Bill 6290 establishes the Office of Primary Care Transformation within the Department of Health and Human Services to improve access to and the quality of primary care services. The office is tasked with providing technical assistance to medical practices, expanding the healthcare workforce, addressing patient social needs, and strengthening partnerships with community organizations. Additionally, the bill creates a dedicated primary care transformation fund in the state treasury to support these initiatives, with funds remaining available across fiscal years rather than lapsing. This legislation only takes effect if a related companion bill is also enacted into law.
This bill directs the Michigan Department of Health and Human Services to expand managed care options for Medicaid recipients, giving them a choice among contracted health plans while ensuring access to primary care and preventive services. It requires new enrollees to schedule an initial appointment with a primary care provider within 60 days and mandates that the department track plan compliance with this requirement. The legislation also establishes financial incentives for providers and enrollees to encourage the use of high-value services, promote generic prescriptions, and detect fraud, while allowing telemedicine from out-of-state providers. Additionally, the bill outlines a performance bonus system for health plans based on specific health equity and outcome targets, and sets rules for automatically moving individuals out of skilled nursing facilities after 45 days of care.
This bill directs the Michigan Department of Health and Human Services to create a new payment system that funds certified community behavioral health clinics based on anticipated costs rather than individual service bills. The legislation requires the department to set fair payment rates, establish rules to prevent conflicts of interest, and create a process for resolving disputes between clinics and managed care organizations. Starting in 2028, the bill also mandates that any new clinic sites receive state approval to ensure services are distributed evenly and to avoid oversaturation in specific areas. Additionally, the law prioritizes applications from existing community mental health programs and requires that new sites be operated directly by or under the governance of these programs. The bill includes provisions for penalties against clinics that violate rules and notes that implementation depends on the legislature appropriating sufficient funds.
This bill directs Michigan state agencies to align their policies with federal requirements for certified community behavioral health clinics, preventing any state rules from conflicting with federal standards. It also establishes a process to identify new clinic locations in specific areas to prevent overlapping service regions while maintaining cooperation with the federal government. The legislation includes a provision that allows the state legislature to vote on whether to stop participating in the federal program, with a mandatory 12-month waiting period before clinics can be shut down if such a vote occurs.
