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HB 5166

AN ACT RELATING TO HEALTH AND SAFETY -- HIGH HEAT WASTE FACILITY ACT

2025 Regular Session Introduced by Karen Alzate and 9 co-sponsors

The bill establishes a statewide Perinatal Quality Collaborative within the Public Health Code to improve maternal and infant health through regional collaboratives, equity in care

03/12/2025 Committee recommended measure be held for further study
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Bill Summary · HB 5166

Summary — HB 5166 (PA 243 of 2024): Establish Perinatal Quality Collaborative in the Public Health Code

Overview / Purpose

House Bill 5166 adds section 9130 to the Michigan Public Health Code (1978 PA 368, Part 91) to require the Department of Health and Human Services (DHHS) to maintain a statewide Perinatal Quality Collaborative (PQC). The statutory purpose is to support and improve maternal and infant health outcomes across Michigan by promoting quality improvement, advancing equity, and expanding respectful perinatal care — including targeted services for families affected by perinatal substance use disorder.

Key Provisions

  • DHHS must maintain a statewide PQC whose functions include:
    • Promoting continuous quality improvement in perinatal care.
    • Identifying care processes and mobilizing resources.
    • Advancing equity in maternal/infant health.
    • Implementing and expanding care for families affected by perinatal substance use disorder.
    • Expanding access to quality, respectful care during pregnancy and the postpartum period.
  • The statewide PQC must establish regional PQCs aligned to Michigan’s 10 “prosperity regions.”
  • Each regional PQC must designate a regional lead agency to invite participation from “qualified persons” (see Definitions).
  • Subject to legislative appropriation, DHHS shall provide resources to each regional PQC and require regional PQCs to:
    • Convene regular regional meetings to review qualitative and quantitative maternal/infant health data.
    • Develop action plans using evidence-based strategies to address regional perinatal challenges.
    • Engage families and communities in plan development.

Definitions (statutory)

  • “Prosperity region”: each of the 10 prosperity regions identified by DHHS on the bill’s effective date.
  • “Qualified person”: any person or governmental entity providing perinatal services/supports (examples listed include health facilities, clinicians, local health departments, home visitation programs, insurers, families, community organizations, and federally recognized tribes).

Implementation, Funding & Fiscal Impact

  • The statutory duties of DHHS and regional PQCs are subject to appropriation. Fiscal impact is indeterminate and depends on future funding levels.
  • The FY 2024–25 DHHS budget included $10.0 million total for grants supporting local PQCs ($5.0 million ongoing; $5.0 million one-time). Additional appropriation increases would raise state expenditures; local governments might incur administrative costs not covered by grants.

Who Is Affected

  • Primary beneficiaries: pregnant and postpartum individuals, infants, and families.
  • Implementers/participants: DHHS, regional lead agencies, health systems, clinicians, local health departments, community-based organizations, federally recognized tribes, insurers, home-visiting programs, and families.
  • Possible indirect effects on local governments and health providers (administrative responsibilities, participation in collaboratives).

Background & Rationale

  • The bill codifies DHHS’s existing Michigan Perinatal Quality Collaborative (MIPQC), launched in 2015 and federally funded by CDC PQC initiatives. The statute formalizes the collaborative structure and regional approach in state law.

Legislative Status & Effective Date

  • Introduced Oct 17, 2023; passed House June 26, 2024; passed Senate Dec 19, 2024; enrolled and approved by Governor Jan 21, 2025; filed with Secretary of State Jan 21, 2025.
  • Assigned Public Act 243 of 2024. Effective date: April 2, 2025.

Compiled from official sources — confirm details with the bill’s official record.

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