MI SB1015

Establishes annual health facility licensing fees effective until October 1, 2019, including $500 per facility license for surgical outpatient facilities and hospitals, plus per-bed charges ranging from $3-$10 depending on facility type.

Implements quality assurance assessments on nursing homes and hospitals to finance Medicaid reimbursement increases, with assessments capped at 6% of total industry revenues for nursing homes and variable rates for hospitals based on federal matching requirements.

Sets state retention amount at 13.2% of federal matching funds generated through quality assurance assessments, with additional retention amounts specified for Healthy Michigan Plan ($92.8 million one-time in FY 2016, $105 million in FY 2017, and $118.4 million annually beginning FY 2018).

Terminates quality assurance assessments for ambulances and nursing homes after October 1, 2019, and requires continued federal matching fund eligibility to maintain collection of hospital quality assurance assessments.

Establishes certificate of need application fees ranging from $3,000 base fee to up to $12,000 additional fee based on project capital expenditure amounts, with fees dedicated solely to funding the certificate of need program.