MI HB5252

Establishes a new licensing category for "prescribed pediatric extended care centers" (PPECs) - nonresidential facilities that provide skilled nursing and medical care to 3 or more children under age 22 with complex medical conditions requiring ongoing physician-prescribed care and medical devices

Requires PPECs to be licensed by the Michigan Department of Health and Human Services beginning October 1, 2026, with an initial license fee of $2,000 and annual license fee of $500 per facility

Mandates specific staffing ratios based on patient census, ranging from 2 registered nurses plus 2 additional staff for 3-12 patients up to scaled increases for facilities with 43+ patients, with all nursing staff required to have pediatric intensive care or neonatal intensive care experience

Requires PPECs to have a board-certified pediatric physician as medical director and a registered nurse with pediatric ICU/NICU experience as nursing director, along with monthly staff development programs and quality assurance evaluations every 6 months

Limits patient care to 12 consecutive hours per day during standard daytime working hours, requires written protocols of care developed with families, and mandates comprehensive preadmission planning and record-keeping for each patient