MENT. HEALTH & SUB. ABUSE SERVICES; REGISTRY S.B. 802:
SUMMARY OF BILL
REPORTED FROM COMMITTEE
Senate Bill 802 (as reported without amendment)
Sponsor: Senator Paul Wojno
Committee: Health Policy
CONTENT
The bill would amend Chapter 1 (Department of Mental Health) of the Mental Health Code to
do the following:
-- Require the Department of Health and Human Service’s (DHHS’s) electronic inpatient
psychiatric bed registry to include community-based services.
-- Require community mental health services programs to provide the DHHS with the
number, type, and other pertinent information on the community-based mental health
and substance use disorder services available in the local area.
-- Add acute care hospitals or emergency department staff and community mental health
services programs to the list of required representatives on the committee that guides the
operations of the registry.
-- Require the DHHS to compile a list of available community mental health services
programs and substance use disorder services program and disclose that information to
individuals that used the Michigan Crisis and Access Line.
MCL 330.1151 & 330.1165
BRIEF RATIONALE
According to testimony, Michigan is experiencing a behavioral health crisis in which too few
providers and services are available to fulfill behavioral care needs. This has resulted in a
system where inpatient care providers, like hospitals, care for individuals who would be better
served by outpatient care settings, such as community mental health services. Currently,
many inpatient care providers must dedicate resources to investigating the availability of
community mental health services from outpatient care providers so they can coordinate the
transfer of a patient. Requiring the DHHS to compile this community mental health
information in a central registry would improve inpatient providers' access to this information,
saving them time and better serving patients.
Legislative Analyst: Alex Krabill
FISCAL IMPACT
The bill would have a minor negative fiscal impact on the DHHS and local units of government.
Previous registries created by various departments have cost up to $150,000, and depending
on the difficulty of adding a community-based services registry to the electronic inpatient
psychiatric bed registry that amount could represent the upper bound of the impact on the
Department. Additionally, under the bill, the DHHS would have to provide to the contractor
operating the Michigan Crisis and Access Line (MiCAL) information related to available
community mental health services programs (CMHSPs) and substance use disorder services
programs. This would increase administrative costs for the DHHS related to the operation of
MiCAL. The Fiscal Year 2024-25 DHHS budget included $9.4 million General Fund/General
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Purpose (GF/GP) on an ongoing basis to support MiCAL, as well as $1.9 million GF/GP on a
one-time basis.
The Mental Health Code currently requires the State to pay 90% of the annual net cost of a
CMHSP, subject to appropriation by the Legislature (MCL 330.1308); however, counties can
provide funding to their local CMHSPs using millages or county general funds. Therefore, the
requirement that CMHSPs report pertinent information on the community-based mental
health and substance use disorder services available in the CMHSPs geographic service area
on as close to a real-time basis as possible could result in increased costs for local units of
government depending on if the increased administrative costs were financed by reprioritizing
current funding or levying additional local resources. Costs to the State would increase if the
data reporting requirements were accompanied by an increase in the appropriation level by
the Legislature. To the extent that the bill would result in an increase in CMHSPs
administrative costs, it could present an increased cost to the State and would present an
increased cost to local units of government.
Date Completed: 12-7-24 Fiscal Analyst: Ellyn Ackerman
SAS\Floors2324\sb802
This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official
statement of legislative intent.
Page 2 of 2 Bill Analysis @ www.senate.michigan.gov/sfa sb802/2324


Statutes affected:
Senate Introduced Bill: 330.1151, 330.1165