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HB 5252

Health facilities: licensing; licensing of prescribed pediatric extended care facilities; provide for. Amends secs. 20106, 20109, 20115 & 20161 of 1978 PA 368 (MCL 333.20106 et seq.) & adds pt. 219A.

2025-2026 Regular Session Introduced by Joe Aragona and 37 co-sponsors

Michigan licenses prescribed pediatric extended care centers as regulated facilities; effective Oct 1, 2026, with new license fees.

bill electronically reproduced 11/12/2025
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Bill Summary · HB 5252

Summary — HB 5252 (2025): Licensing of Prescribed Pediatric Extended Care Facilities

Purpose

HB 5252 amends the Michigan Public Health Code (1978 PA 368) to add licensing and regulatory authority for "prescribed pediatric extended care centers" by (1) adding a new Part 219A, (2) expanding the statutory definition of “health facility or agency” to include those centers, and (3) adjusting related definitions, rulemaking authority, and fee schedules. The bill aims to bring pediatric extended care centers under the state’s facility licensing and oversight framework.

Key provisions and changes

  • Adds Part 219A to the Public Health Code to establish licensing provisions for prescribed pediatric extended care centers (text of Part 219A not shown in the excerpt but created by the bill).
  • Amends section 20106 (definitions for “health facility or agency”) to explicitly include, beginning October 1, 2026, a “prescribed pediatric extended care center” as a licensed health facility or agency.
  • Amends section 20109 to (a) add or reference a statutory definition for “prescribed pediatric extended care center” (see new section 21951) and (b) adjust subsection numbering/terminology for other definitions.
  • Confirms department rulemaking authority in section 20115 for further defining “health facility or agency” and for certification purposes.
  • Amends section 20161 (fees and assessments) to include prescribed pediatric extended care centers in the license-fee schedule and to set statewide fee rules in effect until October 1, 2027. Specific fee items shown in the bill text include:
    • $500 per facility license for prescribed pediatric extended care centers (same amount listed for many other facility types).
    • $2,000 initial licensure application fee (applies to several listed facility types).
    • Existing fee structures for hospitals, nursing homes, homes for the aged, hospice agencies/residences, freestanding surgical outpatient facilities, and birth centers are retained/updated (e.g., hospitals: $500 + $10 per licensed bed; nursing homes: $500 + $3 per licensed bed over 100; homes for the aged: $500 + $6.27 per licensed bed; hospice residence: $500 + $5 per licensed bed).
    • Quality assurance assessments: nursing homes and hospital long-term care units subject to an assessment not to exceed 6% of industry revenues; hospital assessments subject to federal matching limits.
    • Hospital licensure surcharge of $23 per bed for certification surveys related to Medicare/Medicaid (Title XVIII/XIX).
  • Minor renumbering and cross-reference adjustments in related subsections.

Who is affected

  • Operators and owners of prescribed pediatric extended care centers (newly subject to state licensure, regulation, and fees).
  • Existing licensed health facilities and agencies (clarifies that the new center type joins the list of regulated entities).
  • Department of Licensing and Regulatory Affairs (or the designated “department”) which will administer licensing, inspections, rulemaking, and fee collection.
  • Payers and families: potential changes in operations, compliance costs, and oversight of pediatric extended care services.

Fiscal and timeline aspects

  • The inclusion of prescribed pediatric extended care centers in the statutory definition becomes effective October 1, 2026 (per the amended 20106).
  • The fee schedule language as shown applies “until October 1, 2027,” indicating a specified interim fee regime.
  • Fees established (e.g., $500 facility license, $2,000 initial application) create direct costs for new licensees and revenue for the state; assessments on nursing homes and hospitals may continue to generate significant program funding.

Legislative status & sponsors

  • Filed: March 14, 2025. First read: April 7, 2025 and November 12, 2025 (texts note electronic reproduction Nov 12, 2025). Referred to Committee on Health Policy (Nov 12, 2025); earlier referral to Ways & Means (Apr 7, 2025).
  • Primary sponsor: Rep. Julie Rogers. Multiple cosponsors from both parties listed.

Potential implications

  • Brings pediatric extended care providers under uniform state oversight, which may improve safety and quality standards for medically complex children receiving ongoing care outside hospitals.
  • Imposes licensing costs and administrative requirements on providers; potential impact on small or existing centers that must meet new licensing standards.
  • Adds administrative workload for the department and potential new revenue (licensure fees, assessments).

(References: Amends MCL 333.20106, 333.20109, 333.20115, 333.20161; adds Part 219A / new section 21951.)

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

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