The bill amends the Public Health Code in Michigan by expanding the definition of "health facility or agency" to include freestanding birth centers and prescribed pediatric extended care centers, effective October 1, 2026. It clarifies definitions for various health care entities, such as nursing homes and hospitals, while excluding certain facilities like veterans facilities from the nursing home definition. Additionally, the bill introduces new licensing fees, including a $500 fee for prescribed pediatric extended care centers, and outlines a quality assurance assessment for nursing homes and hospital long-term care units, which is linked to Medicaid reimbursement rates. The collected fees will be allocated solely for the certificate of need program, and penalties for non-payment of assessments are established.

Moreover, the bill sets forth specific regulations for prescribed pediatric extended care centers, including staffing requirements and operational standards. Centers must employ a designated number of registered nurses, licensed practical nurses, and direct care staff based on patient numbers, and maintain a written staffing plan that is updated quarterly. The legislation emphasizes the importance of individualized care plans for children with medical complexities, involving parents or guardians in the process, and mandates the implementation of a quality assurance program to regularly evaluate patient care services and staffing compliance. Overall, the bill aims to improve the quality of care for children with medical complexities in these specialized centers.

Statutes affected:
House Introduced Bill: 333.20106