MI HB4674

Department of Health and Human Services shall contract for an independent feasibility study and actuarial model of public, private, and public-private hybrid options for long-term care services and supports.

Study must include models for: an affordable annual long-term care benefit for those needing assistance with 2 or more activities of daily living; a public-private reinsurance/risk-sharing model to support private insurers; and a benefit for those ineligible for state Medicaid.

Report must analyze existing long-term care programs, participation rates, and coverage gaps; project costs, benefits, and anticipated participant numbers; assess workforce impact and recruitment needs; and evaluate effects on family caregivers.

Report must include analysis of projected Medicaid savings, legal and financial risks to the state, and must account for living wages for home care workers and compliance with federal fair labor standards.

Department shall convene stakeholder meetings (minimum 3) before, during, and after the study; feasibility study must be completed within 9 months; department shall hold public hearing and submit findings and recommendations to legislature within 60 days of completion.