Updates About Budget

The Michigan Department of Health and Human Services (MDHHS) is looking for members to serve on the Rural Health Transformation (RHT) Advisory Council. Those selected will support the implementation of Michigan’s RHT program.

The Rural Health Transformation Program stems from a grant established by the Centers for Medicare and Medicaid Services (CMS) under the federal One Big Beautiful Bill Act (OBBBA) passed into law this year. The grant program is a five-year initiative that will allocate up to $10 billion to states each year from 2026 to 2030. This year, all 50 states received funding for FY 2026, with Michigan set to receive $173.1 million.

MDHHS will be awarding the funds to organizations in the state that prioritize expanding access, quality, costs, and technology advancements of healthcare for rural Michigan residents.

The advisory council will have the responsibility of creating a strategy to strengthen the input of partners and communities throughout the implementation of the program. The council will also offer guidance to MDHHS on decision making and ensure the program remains committed to rural areas.

Individuals and organizations with experience and commitment to improving rural health are encouraged to apply for a seat on the council. Other criteria include knowledge of rural health challenges or service delivery gaps, dedication to problem-solving, and availability to participate and contribute to the program’s scheduled meetings.

Interested applicants can apply here. To receive updates on program developments, you may also subscribe to the RHT Listserv. Applications are due end of day 1/23.

Shortly after the new year, Michigan Attorney General Dana Nessel issued her formal opinion that the mechanism used by the Michigan House Appropriations Committee to eliminate over $644 million in work project funding is unconstitutional. The disapproval mechanism used, MCL.18.1451a(3), can be found in the Management and Budget Act and allows for previously approved funding from the last fiscal year to continue to be used for its direct purpose in the new fiscal year. The funds are approved by the State Budget Director and are known as work projects. According to the law, either the Senate or House Appropriations Committee can then decide to approve or disapprove the work project funding. Historically in Michigan this funding has typically been approved by both chambers.

In her opinion, AG Nessel deemed MCL.18.1451a(3) unconstitutional. She argues that the mechanism violates Separation of Powers because it allows a single legislative committee to effectively have authority over the executive’s law implementation powers. Continuing her argument, she laid out that since the action was not approved by the Senate, and subsequently by the Governor, it violates the Bicameralism and Presentment requirements. Lastly, Nessel concluded that the veto disapproval mechanism is separate from the rest of the statute, so the remaining portions, such as the State Budget Director’s authority, can remain.

Two weeks after the Attorney General’s formal opinion was published, Court of Claims Judge Michael Gadola issued a preliminary injunction that preserves the status quo of the law. This injunction temporarily prohibits state departments from spending any remaining work project funds until the courts have made a final decision on the constitutionality of the House Republican Appropriations Committee’s actions.

The Senate’s plan to finish the year with a strong focus on their economic development package was thrown off course last week when Republicans in the House Appropriations Committee disapproved nearly $645 million in previously appropriated work project funding ($351.5 million General Fund). Work projects are requests by the State Budget Office to carry forward funding from the previous fiscal year and allow those dollars to be utilized for the original purpose over a 48-month period. In previous years, work project appropriations generally continued until completion or lapse of funds. This year, however, the House Appropriations Committee unexpectedly disapproved of a number of work projects, allowing the funds to lapse back into the state’s General Fund. The unprecedented move was almost entirely along party lines, with just one committee Republican, Representative Ron Robinson (R-Utica), joining Democrats in voting no. The resulting vote was 16-9 in favor of the decision.

The Senate responded by holding a two-hour committee hearing in the Senate Appropriations Committee, where testimony was heard by affected recipients. Following the hearing, the Senate introduced a substitute into House Bill 4576, adding a $633 million supplemental spending bill that would restore much of the work project funding. The bill passed 23-15, with five Republican Senators joining the Democrats in voting in favor of the supplemental. The five Republicans include Jon Bumstead (North Muskegon), John Damoose (Harbor Springs), Mark Huizenga (Walker), Ed McBroom (Waucedah Township), and Michael Webber (Rochester Hills).

HB 4576 is now available to be voted on by members of the House. If the House does decide to place the bill on its agenda, it will not be until January at the earliest, when the legislature reconvenes for session in the new year.