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HB 6046

Human services: medical services; coverage for community violence prevention services; provide for. Amends 1939 PA 280 (MCL 400.1 to 400.119b) by adding secs. 89 and 89a.

2023-2024 Regular Session Introduced by Christine Morse

Medicaid will cover evidence-informed community violence prevention services for eligible beneficiaries referred after violence exposure, with trained qualified professionals.

assigned PA 269'24
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Bill Summary · HB 6046

Summary — HB 6046 (Public Act 269 of 2024)

Title: Human services: medical services; coverage for community violence prevention services; provide for. (Adds MCL 400.89 and 400.89a)
Effective date: October 1, 2025

Purpose

The act requires the Michigan Department of Health and Human Services (DHHS) to provide coverage under the state medical assistance (Medicaid) program for evidence‑informed, trauma‑informed, culturally responsive, non‑psychotherapeutic community violence prevention services for eligible beneficiaries who are referred by a health professional after violent injury or chronic exposure to community violence.

Key provisions

  • Defines key terms including “community health worker,” “community violence,” “community violence prevention services,” “prevention professional,” and “violence prevention professional.”
  • Requires DHHS to cover community violence prevention services for a Medicaid beneficiary referred by a licensed health professional who determines the individual is at significant risk of violent reinjury or has chronic exposure to community violence.
  • Requires that providers (prevention professionals or community health workers) be certified as a “qualified violence prevention professional” by DHHS to be eligible for Medicaid reimbursement.
  • DHHS responsibilities:
    • Issue guidance on use of the benefit for Medicaid beneficiaries.
    • Solicit input from impacted stakeholders (including DHHS community violence/intervention programs, hospitals, community health worker groups, and Medicaid managed care) to determine allowable payment rates — using fee‑for‑service outpatient rates or other reliable data.
    • Within 30 days after seeking necessary federal approvals, approve training/credential/certification programs required to qualify violence prevention professionals. Each approved program must include at least 35 hours of training covering:
    • Effects of trauma and basics of trauma‑informed care;
    • Community violence prevention strategies (e.g., crisis intervention, de‑escalation, conflict mediation, case management, advocacy);
    • HIPAA (Health Insurance Portability and Accountability Act of 1996).
    • May allocate funds to award grants to community‑based organizations for training, certification, and capacity‑building needed to implement the benefit.

Services covered (examples)

Peer support and counseling; mentorship; conflict mediation and crisis intervention; targeted case management; referrals to certified/licensed health or social services; school/community support; patient education and screening; group/individual health education and coaching; health navigation; transitions‑of‑care support; screening/assessment of nonclinical/social needs.

Limits and conditions

  • The act does not change the licensed scope of practice of health professionals or authorize health care delivery in unauthorized settings.
  • Implementation is contingent on availability of federal financial participation and any necessary federal approvals (e.g., state plan amendment or waiver from CMS).

Who is affected

  • Medicaid beneficiaries who are victims of community violence or at high risk of reinjury.
  • Community health workers, prevention professionals, hospitals, community‑based violence intervention programs, and Medicaid managed care organizations.
  • DHHS (administration, certification, rate‑setting, and grant administration).

Procedural/timeline notes

  • Introduced: Nov. 7, 2024 (Rep. Christine Morse).
  • House passed: Dec. 13, 2024. Senate passed: Dec. 20, 2024.
  • Presented to and approved by Governor: Jan. 22, 2025.
  • Filed with Secretary of State / Assigned Public Act No. 269 of 2024.
  • Effective date: October 1, 2025.
  • DHHS must obtain federal approvals prior to implementing the benefit and must act within specified timeframes (e.g., approve training programs within 30 days after seeking federal approval).

Fiscal note

The enrolled bill materials indicate there will be costs to the Medicaid program; implementation and financial impact depend on benefit utilization, DHHS rate determinations, and availability of federal matching funds (fiscal analysis details truncated in provided materials).

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

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