2015 House Bill 4447 / Public Act 104

Increase and/or extend government license and permit fees

Introduced in the House

April 14, 2015

Introduced by Rep. Al Pscholka (R-79)

To increase the license fees for hospitals, clinics, nursing homes and other health care facilities. Also, to extend a “Michigan Medicaid Quality Assurance Assessment” (MMQAA) tax on nursing homes for another four years, which is a bed tax used to “game” the federal Medicaid matching funds formula to generate more federal money for Michigan’s medical welfare programs.

Referred to the Committee on Appropriations

April 22, 2015

Reported without amendment

With the recommendation that the substitute (H-2) be adopted and that the bill then pass.

May 27, 2015

Amendment offered by Rep. Al Pscholka (R-79)

To authorize an additional $92.9 million in state "retainer" revenue on a one-time basis in the "Medicaid Quality Assurance Assessment" device used to extract more Medicaid money from the federal government, cap the amount of this revenue received from ambulance services, and make other changes.

The amendment passed by voice vote

Passed in the House 94 to 15 (details)

Received in the Senate

June 3, 2015

Referred to the Committee on Appropriations

June 4, 2015

Reported without amendment

With the recommendation that the substitute (S-1) be adopted and that the bill then pass.

June 10, 2015

Passed in the Senate 32 to 6 (details)

To increase the license fees for hospitals, clinics, nursing homes and other health care facilities. Also, to extend a “Michigan Medicaid Quality Assurance Assessment” (MMQAA) tax on nursing homes for another four years, which is a bed tax used to “game” the federal Medicaid matching funds formula to generate more federal money for Michigan’s medical welfare programs.

Received in the House

June 10, 2015

June 11, 2015

Passed in the House 96 to 12 (details)

Signed by Gov. Rick Snyder

June 30, 2015