MENT. HEALTH SCREENINGS; POSTPARTUM H.B. 5172 (H-2):
SUMMARY OF BILL
REPORTED FROM COMMITTEE
House Bill 5172 (Substitute H-2 as reported without amendment)
Sponsor: Representative Carol Glanville
House Committee: Health Policy
Senate Committee: Health Policy
CONTENT
The bill would amend Part 91 (General Provisions) of the Public Health Code to do the following:
-- Require the Department of Health and Human Services (DHHS), subject to appropriation, to establish and implement a program that registered a perinatal facility as a Level I, Level II, Level III, or Level IV maternal care facility.
-- Require the DHHS to publish and update on its website a list of each perinatal facility for which the DHHS had registered under the program.
-- Allow the DHHS, subject to appropriation, to provide an incentive payment to a perinatal facility that registered with the DHHS under the program.
BRIEF RATIONALE
Generally, health facilities are ranked by levels according to the services they offer, with lower levels offering less significant services and higher levels offering more significant services. The American College of Obstetricians and Gynecologists (ACOG) recommends that a maternal care facility schedule be as follows: Level I for basic care; Level II for specialty care; Level III for subspecialty care; and Level IV for regional perinatal health care centers.[1] Some people believe that creating a Level I to Level IV maternal care facility designation schedule would help Michigan residents identify needed resources and seek out specific care for birthing mothers depending on their levels of medical need, and so the bill has been suggested.
Legislative Analyst: Alex Krabill
FISCAL IMPACT
The bill would have an indeterminate negative fiscal impact on the DHHS and local units of government. The DHHS would incur costs from the creation and implementation of a program to register a perinatal facility as a Level I, Level II, Level III, or Level IV maternal care facility, as well as from the provision of incentive payments to maternal care facilities that register with the DHHS. Local units of government that operate a perinatal facility could face increased costs from requirements necessary to meet the Level I, Level II, Level III, or Level IV designation. The magnitude of the fiscal impact would depend on the amount appropriated by the Legislature to implement the provisions of the bill.
Date Completed: 12-16-24 Fiscal Analyst: Ellyn Ackerman
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.