HOUSE BILL No. 6551

 

 

November 28, 2018, Introduced by Rep. Rendon and referred to the Committee on Families, Children, and Seniors.

 

     A bill to amend 1939 PA 280, entitled

 

"The social welfare act,"

 

(MCL 400.1 to 400.119b) by adding section 22.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 22. (1) As used in this section, "Program of All-

 

Inclusive Care for the Elderly" or "PACE" means an innovative model

 

of community-based care that enables elderly individuals, who are

 

certified as needing nursing facility care, to live as

 

independently as possible.

 

     (2) A prospective PACE organization can be a not-for-profit,

 

for-profit, or public entity that is primarily engaged in providing

 

PACE services and participates in both Medicare and Medicaid.

 

Michigan licensure as a health care entity is not required. An

unlicensed PACE entity may only serve Medicare and Medicaid

 

beneficiaries. A prospective PACE entity must meet the federal

 

requirements for a PACE organization, enroll as a Michigan Medicaid

 

provider, and complete a feasibility study.

 

     (3) A prospective PACE organization must submit both of the

 

following to the department:

 

     (a) Not later than 90 calendar days after submitting a letter

 

of intent, a feasibility study.

 

     (b) Not later than 1 year after the department approves the

 

feasibility study, a provider application.

 

     (4) When submitting a letter of intent, a prospective PACE

 

entity must state in the application the service area proposed for

 

the PACE program. The department must exclude from designation an

 

area that is already covered under another PACE program agreement

 

to avoid unnecessary duplication of services and to avoid impairing

 

the financial and service viability of an existing PACE program.

 

     Enacting section 1. This amendatory act takes effect 90 days

 

after the date it is enacted into law.