
MichCapCon documents the increased corruption risk in each department thanks to Michigan's new budget provisions.
Health policy permeates Michigan's 2025 Budget, as well. When the "health and safety" label gets slapped on, anything goes.
In addition, much of Michigan's budget impacts healthcare. Try reading those hundreds of pages, and you'll see what I mean. It's like a country with no borders - everything goes everywhere.
For more MDHHS-specific spending see this thread.
Lawmakers release 18 departments from requirement to report severance payments
Less transparency means more corruption and waste, lawmaker says
Michiganders will have difficulty holding the government accountable in the $83 billion 2025 budget as lawmakers slashed severance pay reporting requirements for 18 departments.
Lawmakers cut the reporting requirements for the following areas: the Michigan Department of Education; Environment, Energy, and Great Lakes; the general government; Insurance and Financial Services; Labor and Economic Opportunity; Licensing and Regulatory Affairs; and the Department of Natural Resources.
The budget also removed severance pay reporting from the Agriculture and Rural Development, Corrections, Health and Human Services, Military and Veterans Affairs, State Police, and Transportation.
Employers often pay severance to workers who are fired, laid off, or who retire, as a way to provide a brief financial runway for bills such as housing and food.
The change in the new budget will lead to more corruption and government waste, said Rep. Mike Harris, R-Waterford, who serves on the House Ethics and Oversight Committee.
”By keeping generous severance payments secret, Democrats are keeping corruption and incompetence under cover of darkness,” Harris told CapCon. “When Gov. Whitmer paid her top bureaucrats hundreds of thousands of dollars to go away and keep their mouths shut, Republicans exposed this corruption and held the governor accountable for hush-money agreements.”
In 2021, a reporter discovered Gov. Gretchen Whitmer’s administration made nearly $253,000 in severance payments — undisclosed, at first — to government workers who abruptly left during the COVID pandemic.
In 2022, voters gave the Democratic Party a political trifecta, and the state’s new leaders cut the severance reporting requirement.
“Budgets required transparent reporting on severance deals to expose taxpayer-funded golden parachutes for the employees the governor fires,” Harris said. “But in their new budget, Democrats stripped out these and other key transparency measures, enabling government waste and mismanagement to fester.”
Senate Majority Leader Winnie Brinks, D-Grand Rapids, hasn’t responded to a request for comment. The Legislature doesn’t return to work until late July.
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Lawmakers also deleted a requirement that the Michigan Department of Agriculture and Rural Development maintain performance measures and key metrics on a publicly accessible website. They deleted a similar requirement for the Department of Licensing and Regulatory Affairs
Gov. Gretchen Whitmer’s office hasn’t responded to a request for comment.
Scott McClallen is a reporter and editor for Michigan Capitol Confidential.
McClallen came to Michigan from Southern Illinois to study economics at Hillsdale College.
He previously worked for The Center Square for five years covering Michigan’s taxing and spending, electric vehicle subsidies and labor strikes. His work has appeared in RealClearPolitics, the Washington Examiner and the Detroit Metro Times.
Raising goats, horses and chickens, he grew up on a farm, and now lives in Metro Detroit with his wife and dog.
This jaw-dropping Detroit Free Press opinion piece is written by northern MI Senator John Damoose.
I think the senator is very, very confused.
There's lack of budget transparency, and then there's outright obfuscation.
Think about it:
- If excessive federal spending causes inflation, does state spending reduce it?
- Does the Bible hold governments responsible to support families, or parents?
- Were the disciples Jesus spoke to somehow representing government?
- Is government capable of love?
- Does the Constitution's general welfare clause actually refer to particular welfare of babies?
'Pro-life' means more than protecting the unborn. Michigan's Rx Kids does just that.
September 4, 2024Jesus said to his disciples, “Whatever you do for one of the least of these brothers and sisters of mine, you do for me.” Throughout the Gospels, Jesus’ concern for the poor and the most vulnerable shines through: Feed them. Clothe them. Eat at the table of those who are downtrodden, not the powerful.As faithful believers, we are called to put such teachings into action. And as public servants, we likewise are tasked with promoting the general welfare of our citizens. The scale of the challenges we face are far too big to be fought by charity alone. That’s a big part of why I followed a call to public service, and am now proud to serve in the Michigan Senate. I want to build a state where we ensure that each and every Michigander has a chance to thrive.
When I study programs designed to lift up the least of these, I want ones that really do just that. They must treat people with dignity and respect. They must provide real, tangible aid to those in need. And the bill must be one we can afford.
I believe the state has uncovered just such a program in Rx Kids.
Rx Kids is a historic effort for moms and babies that launched in Flint, Michigan this past January. The state Legislature approved $20 million for next year’s budget to expand the program to several other low-income Michigan communities. Rx Kids provides a cash prescription of $1,500 in pregnancy and $500 a month after the birth of a child, until age 1.
Helping moms and babies truly fits into the call of Jesus. I believe in the sanctity of life. I believe we need to be champions for the unborn. That means more than just calling ourselves “pro-life” — it means doing everything we can to make it easier for expectant moms to choose life. It means being there for families from the very beginning — and offering them the resources they need to thrive.
Families are poorest right around the time that a new baby is born. Most of us who have been through it ourselves know the struggle to make ends meet with everything babies require. Yet, the birth of a child is also the time when babies need the most care, the most stability, and the most love. We all need to be there for new families, as people of faith, as a community, and as a state government.
There are so many other reasons to admire Rx Kids. To begin with, it serves all families in a poor community. It doesn’t pit people against each other. It doesn’t say, “you’re just above the poverty line, so you don’t need help.” Those of us in rural Michigan know how hard it is to get by, especially in an era of skyrocketing inflation. We don’t have as many resources to help our moms and babies as many other larger communities.
Providing cash prescriptions to moms and babies also follows the logic of libertarian Milton Friedman, who believed cash is the best way to help people, because it is the most efficient.
Instead of assuming that government is all powerful and all knowing, it trusts that parents know what their kids need to thrive — whether it’s diapers, food, books, or childcare. With Rx Kids, families are free to choose what best meets their needs. It cuts down on all the government red tape of other programs that seek to monitor the poor and tell them what they can and can’t have. If you like small government, Rx Kids is for you.
I especially like Rx Kids because it is fiscally responsible. Not only is it efficient to administer with minimal bureaucracy, but the program is paid for by an impressive public-private partnership.
Funds are coming from many great Michigan foundations, and I applaud their support and leadership. We are hopeful for even more private support to successfully launch the program in the Eastern UP.
The rest of the funding comes from a pot of money that the state is supposed to use for cash assistance for poor families. By targeting help during the critical first year of life, it provides a massive return on investment: in the long run, we will save money with healthier kids and communities. Additionally, these cash prescriptions will be spent locally, so they support small businesses and help revitalize our local economies.
This groundbreaking program will effectively and efficiently lift up families and babies. It will lift up entire communities. And most importantly, it will bring people from across the aisle together. As it spreads across Michigan, our great state can be a leader to the nation — and show how to care for the ones who need the most, the least of these. What it shows most of all is love. Sometimes we shy away from this word, but why? Jesus loved everyone. The poor and the rich. The old and the young. The saints and the sinners. Rx Kids is love in action.
This last summer, Flint held a baby parade — joyfully loving and celebrating hundreds of its babies and commemorating the launch of its new baby-loving program. Jesus would have loved baby parades. I want to cheer on that type of celebration for our communities in northern Michigan. Rx Kids it is exactly the right way to care for — and love — the least of these. It helps us build a state where each and every Michigander has an opportunity to thrive.
Republican state Sen. John Damoose represents Michigan’s 37th Senate District, including Antrim, Charlevoix, Cheboygan, Emmet, Grand Traverse and Leelanau counties, as well as parts of Mackinac and Chippewa counties.
The senator vaguely refers to Ludwig von Mises, who is probably turning over in his grave. Mises has numerous pithy sayings, a fair proportion of them relevant. I'll quote just a few:
"Every government intervention creates unintended consequences, which lead to calls for further government interventions."
"The most important thing to remember is that inflation is not an act of God, that inflation is not a catastrophe of the elements or a disease that comes like the plague. Inflation is a policy."
And perhaps best of all:
"The advocates of public control cannot do without inflation. They need it in order to finance their policy of reckless spending and of lavishly subsidizing and bribing the voters."
The Michigan FY2025 Education Budget is not just for Education spending, it is also about Healthcare. In the 146 page document, Health is mentioned 189 times. That is more than once per page. That is 1.3 mentions of Health per page of the budget. Medicaid and Medicare are mentioned 20 times. This goes to show how gray the lines between various departments of government have become.
Further, as shown in the conference report summary, the education you are paying for in Michigan is not just going to Children anymore. It is instead going to the College system. For the $23 billion education budget, Michigan is now spending $462,220,800 on community college and $2,324,292,600 on Universities. This totals to nearly 12% of the entire educational budget, and only is continuing to grow year upon year.
Also, if this was not enough, there is a second educational budget released within the general omnibus budget totaling another 165 million dollars with many mentions of healthcare. For instance, this educational bill is now authorizing and funding a joint venture between the board of education and MDHHS to develop a required certification program for community healthcare workers.
Most people don’t know how much their state is spending, where that money is going, and what new expenses are taken on every year. The Michigan General Omnibus Budget outlines the Michigan General Budget for the Fiscal Year of 2025, and it is full of healthcare specific legislation.
The bill is 359 pages long, but mentions health 758 times! That relates to 1.92 mentions per page of text. Further medicare is mentioned a total of 24 times, while medicaid is mentioned 240 times. The bill is a fiscal document, but the inner workings of government always seem to run together.
Further, as few realize, new laws are being written into this bill that do not necessarily apply to government spending. This is apparent in the bill’s section on the Department of Agriculture. The Department is not directly related to the healthcare industry, yet, the bill includes legislation preventing communities from interfering with the state government.
Sec 222. From the funds appropriated in part 1, local governments shall report any action or policy that attempts to restrict or interfere with the duties of the local health officer.
This legislation, oddly, is also copied into the section on the Department of Corrections.
Sec. 213 – (2) From the funds appropriated in part 1, local governments shall report any action or policy that attempts to restrict or interfere with the duties of the local health officer.
It is interesting just how gray the lines between the departments of government have become in recent years. Between the first 90 pages and three major sections, the Department of Agriculture, Corrections and Energy. Healthcare was mentioned 71 times. It is important that the citizens of Michigan know just what is going into these documents and how expensive the legislation has become.
A total of 7 governmental departments fall under the “General Government” category in the bill. These include the legislature, the executive branch, the department of attorney general, the department of state, the department of technology, management, and budget, the department of treasury, and the department of civil rights.
While apportioning themselves a meager $5,192,043,600 for their expenses this year, (believe me, this is small compared to the rest), I found it very interesting to track where the money to fund the main branches of government is coming from.
There is a specific type of Capital exchange throughout the bill referred to as an Interdepartmental Grant. This is where one department apportions some of its funds to another to uphold its operating budget. What I found as I was reading through this section of the bill is that healthcare agencies such as MDHHS and LARA are significantly funding the departments of “General Government”.
Take the Attorney General’s office for instance. These are the following Interdepartmental grants or federal grants coming from healthcare related agencies.
Interdepartmental grant revenues:
IDG from LEO, Michigan occupational safety and health administration 209,000
IDG from MDHHS, health policy 326,800
IDG from MDHHS, human services 6,846,600
IDG from MDHHS, medical services administration 764,400
IDG from MDHHS, WIC 367,100
IDG from MDLARA, cannabis regulatory agency 2,502,500
IDG from MDLARA, fireworks safety fund 89,700
IDG from MDLARA, health professions 3,114,200
IDG from MDLARA, licensing and regulation fees 788,300
IDG from MDLARA, remonumentation fees 116,600
IDG from MDLARA, securities fees 775,600
IDG from MDOS, children’s protection registry 45,000
Federal revenues:
HHS, medical assistance, medigrant 413,500
HHS -OS, state Medicaid fraud control units 6,142,100
Special revenue funds:
Human trafficking commission fund 170,000
Michigan opioid healing and recovery fund 197,000
Second injury fund 662,000
Silicosis and dust disease fund 116,700
This totals $ 23,647,100, which corresponds to 18.74% of the agency’s operating revenues for the year of 2025. This is a significant portion of their operating revenues, which indicates no small level of dependence upon these healthcare regulatory agencies to fund the necessary functions of government. Also, it therefore gives some level of incentive for the government to grow the healthcare regulatory agencies to keep the money flowing back to themselves.
One thread through the budgets of the DIFS, the Judiciary, LEO, LEAP, LARA and the VA are significant one time appropriations which affect the medical industry. These one time appropriations are funds granted by the state to start things that will supposedly have only one significant up front cost such as constructing clinics or funding local health programs. Yet, while the initial investment is often cited to be the largest cost, the future maintenance costs are truly what cost the taxpayer the most.
For instance, the Department of Labor and Economic Opportunity alone has a page long list of such grants. Spending anywhere from 1 million on centers for independent living to 43 million on Healthcare grants. Two such appropriations from the LEO budget are listed below.
Sec. 1015. Funds appropriated in part 1 for health and healing center must be awarded to a health and healing center located in neighborhood community center that provides medical and mental health services and is located in a city with a population greater than 600,000 according to the most recent federal decennial census, to support medical, mental health, childcare, and community services to the community
Sec. 1051. (1) From the funds appropriated in part 1 for healthcare grants, $5,000,000.00 shall be awarded to a hospital located in a city with a population between 5,200 and 5,300 in a county with a population between 109,000 and 110,000 according to the most recent federal decennial census to support infrastructure modernization.
(2) From the funds appropriated in part 1 for healthcare grants, $5,000,000.00 shall be awarded to a healthcare provider that operates a level I trauma facility in a city with a population between 112,000 and 113,000 according to the latest federal decennial census to improve emergency medical services and critical care transport access in this state. The recipient of funding under this section shall use these funds for all of the following:
(a) In conjunction with a community college with an existing paramedic education curriculum, explore the development and implementation of a program to increase enrollment and enhance emergency medical service and paramedic education.
(b) Provide emergency ground ambulance services in a county with a population between 280,000 and 285,000 according to the latest federal decennial census.
(c) Help expand emergency ground ambulance services in a county with a population between 109,000 and 110,000 according to the latest federal decennial census.
(d) Help cover costs related to emergency air ambulance fleet services throughout this state.
(3) From the funds appropriated in part 1 for healthcare grants, $1,000,000.00 shall be awarded to a community center that serves vulnerable populations that is located in a city with a population between 112,000 and 113,000 according to the most recent federal decennial census to support infrastructure improvements.
(4) From the funds appropriated in part 1 for healthcare grants, $12,500,000.00 shall be awarded to a pediatric center of behavioral health located in a city with a population between 198,000 and 199,000 according to the most recent federal decennial census to support infrastructure improvements.
(5) From the funds appropriated in part 1 for healthcare grants, $1,650,000.00 shall be awarded to a community health center located in a city with a population between 7,000 and 8,000 in a county with a population between 62,000 and 63,000 according to the most recent federal decennial census to support job training.
(6) From the funds appropriated in part 1 for healthcare grants, $250,000.00 shall be awarded to a city with a population between 198,000 and 199,000 according to the most recent federal decennial census to support mental health crisis response.
(7) From the funds appropriated in part 1 for healthcare grants, $5,000,000.00 shall be awarded to a cancer treatment facility located in a city with a population greater than 600,000 according to the most recent federal decennial census to support research, treatment, and patient care.
(8) From the funds appropriated in part 1 for healthcare grants, $3,300,000.00 shall be awarded to the community economic development association of Michigan to support voluntary income tax assistance programs.
(9) From the funds appropriated in part 1 for healthcare grants, $1,000,000.00 shall be awarded to a county community health network located in a county with a population between 1,200,000 and 1,300,000 according to the most recent federal decennial census to support health services.
(10) From the funds appropriated in part 1 for healthcare grants, $2,000,000.00 shall be awarded to a community and economic nonprofit organization focused on supporting the Warren Street corridor located in a city with a population greater than 600,000 according to the most recent federal decennial census to support community marketplace infrastructure improvements.
(11) From the funds appropriated in part 1 for healthcare grants, $2,200,000.00 shall be awarded to a rehabilitation recovery and wellness center located in a city with a population between 81,000 and 82,000 in a county with a population between 400,000 and 500,000 according to the most recent federal decennial census to support operations of the center.
(12) From the funds appropriated in part 1 for healthcare grants, $2,000,000.00 shall be awarded to a township with a population between 15,000 and 16,000 in a county with a population between 400,000 and 500,000 according to the most recent federal decennial census to support facility improvements at a senior and enrichment center.
(13) From the funds appropriated in part 1 for healthcare grants, $2,000,000.00 shall be awarded to a nonprofit technology and community center located in a city with a population between 81,000 and 82,000 in a county with a population between 400,000 and 500,000 according to the most recent federal decennial census to support infrastructure improvements.
There are dozens of appropriations similar to this one which sign into law anything from construction projects to healthcare IT development to outreach programs, and cost hundreds of millions of dollars. In each of these allocations as shown above, no consideration is put into what the maintenance or even operating costs of a new health and healing center will be, which may prove problematic as time progresses.
One Section of the budget which the general public might not know about is the Supplemental Appropriations budget. These are additional expenditures added on top of any spending previously written into the bill, and total an additional 2.5 billion dollars of Michigan annual spending. These appropriations range anywhere from 5.7 million on the part of the Department of Agriculture to 1.5 billion on the part of the Department of Health and Human Services.
One interesting piece of legislation written into the Department of State Police is authority for the state budgeters to spend funds at will in emergency situations. As shown below, the director of emergency management may spend any amount of money up to 105 million at his discretion for emergency response.
Sec. 704. (1) The department shall coordinate the mitigation, preparation, response, and recovery activities of municipal, county, state, and federal governments, and other governmental entities, for all hazards, disasters, and emergencies.
(2) The state director of emergency management may expend money appropriated under part 1 to call on any agency or department of this state or any resource of this state to protect life or property or to provide for the health or safety of the population in any area of this state in which the governor proclaims a state of emergency or state of disaster under the emergency management act, 1976 PA 390, MCL 30.401 to 30.421. The state director of emergency management may expend the amounts the director considers necessary to accomplish these purposes. The director shall submit to the state budget director, as soon as possible, a complete report of all actions taken under the authority of this section. The report must contain, as a separate item, a statement of all money expended that is not reimbursable from federal funding. The state budget director shall review the expenditures and submit recommendations to the legislature in regard to any possible need for a supplemental appropriation.
(3) In addition to the funds appropriated in part 1, the department may receive and expend money from local, private, federal, or state sources for the purpose of providing emergency management training to local or private interests and for the purpose of supporting emergency preparedness, response, recovery, and mitigation activity. If additional expenditure authorization in SIGMA is approved by the state budget office under this section, the department and the state budget office shall notify the subcommittees and the senate and house fiscal agencies within 10 days after the approval. The notification must include the amount and source of the additional authorization, the date of its approval, and the projected use of the funds to be expended under the authorization. The total amount of federal revenues that may be received and expended under this section and section 232 must not exceed $105,000,000.00.
(4) The department shall foster, promote, and maintain partnerships to protect this state and homeland from all hazards.
(5) The department shall maintain the staffing and resources necessary to do all of the following:
(a) Serve approximately 105 local emergency management preparedness programs and 88 local emergency planning committees in this state.
(b) Operate and maintain the state’s emergency operations center and provide command and control in support of emergency response services.
(c) Maintain readiness, including training and equipment to respond to civil disorders and natural disasters commensurate with the capabilities of fiscal year 2010-2011.
(d) Perform hazardous materials response training.
(6) The department shall conduct a minimum of 3 training sessions to enhance safe response in the event of natural or manmade incidents, emergencies, or disasters.
(7) In addition to the funds appropriated in part 1, there is appropriated from the disaster and emergency contingency fund an amount necessary to cover costs related to any disaster or emergency as defined in the emergency management act, 1976 PA 390, MCL 30.401 to 30.421. Funds must be expended as provided under sections 18 and 19 of the emergency management act, 1976 PA 390, MCL 30.418 and 30.419, and R 30.51 to R 30.61 of the Michigan Administrative Code.
(8) If, in a particular month, expenditures are made from the disaster and emergency contingency fund, the department shall submit a report for that month to the senate and house fiscal agencies detailing the purpose of the expenditures. The monthly report required under this subsection must be submitted within 30 days after the end of the month during which funds from the disaster and emergency contingency fund were expended.
(9) The department shall track and report on a biannual basis, as provided in section 224 of this part, the status of the department’s assessment of critical infrastructure vulnerabilities, including the protection status of critical infrastructure items identified by the assessment. The department is not required to report any information that could compromise the security of any critical infrastructure.
(10) Revenue collected by the department under this section for the emergency management and homeland security training center that is unexpended and unencumbered at the end of the fiscal year must not lapse to the general fund, but must be carried forward into the subsequent fiscal year.
By far, the department with the largest expenditures in the General Budget is the Michigan Department of Health and Human Services. This year, MDHHS spending increased by 1.9 billion to a total dollar value of $37,646,231,100. This increase was achieved by a total of 122 additions to the budget, ranging from $500,000 to purchase infant car seats for economically disadvantaged communities all the way to 2.5 billion for hospital rate adjustments. Many of these 122 items also cut spending in certain areas to achieve the figure of a 1.9 billion increase.
The most expensive items on the budget by far were hospital rate adjustments, actuarial soundness in medicaid, medicaid cost adjustments and community behavioral health clinics. Each of these line items were pulled from the 24-25 conference report summary.
- Federal Managed Care Rule – Hospital Rate Adjustment Executive includes an increase of $2,320.9 million Gross (reduction of $167.1 million GF/GP) from increased Hospital Quality Assurance Assessment Program (QAAP)-funded Hospital Rate Adjustments (HRA) payments that are able to be increased under recent federal rule changes. The corresponding GF/GP adjustments are associated with a statutory state retainer that is tied to the federal share of these QAAP-funded hospital payments. House and Senate concur. Conference revises base on May caseload consensus estimates.
23-24 Expenditures: $2,309,438,000
Increase for 24-25 Budget: $2,548,158,300
- Actuarial Soundness Executive includes $496.7 million Gross ($134.5 million GF/GP) to support an estimated 3.0% actuarial soundness adjustment for prepaid inpatient health plans (PIHPs), 3.5% for Medicaid Health plans, 5.6% for Program of All-inclusive Care for the Elderly (PACE), 4.0% for home- and community-based services, 1.0% for Integrated Care Organizations (MI Health Link), and 2.5% for Healthy Kids Dental. House, Senate, and Conference concur.
23-24 Expenditures: NA
Increase for 24-25 Budget: $496,691,300
- Traditional Medicaid Cost Adjustments Executive includes an increase of $360.2 million Gross ($174.6 million GF/GP) to recognize caseload, utilization, inflation, and special financing adjustments, and traditional FMAP cost-sharing adjustments from FMAP increasing from 64.94% to 65.13%, less 1 quarter of 1.5% enhanced FMAP provided under the federal Consolidated Appropriations Act, 2023, for medical and behavioral health services in the traditional Medicaid program. House includes an increase of $330.3 million Gross ($164.2 million GF/GP). Senate concurs with the Executive. Conference revises base on May caseload consensus estimates.
23-24 Expenditures: $18,219,346,600
Increase for 24-25 Budget: $289,403,100
- Certified Community Behavioral Health Clinics Executive includes $193.3 million Gross (a net increase of $35.6 million GF/GP) and authorizes 12.0 FTE positions to expand Certified Community Behavioral Health Clinics (CCBHCs) into additional counties to provide services to an estimated 50,000 additional individuals. Amount assumes $12.4 million of GF/GP savings from current Medicaid mental health programming that would be provided through CCBHCs and would be eligible for enhanced FMAP reimbursements of 75.59% rather than 65.13% Amount also includes $1.8 million Gross ($1.0 million GF/GP) for DHHS administration and actuarial costs. Sec. 1002 is related, new boilerplate. House includes $153.2 million Gross ($27.7 million GF/GP) to expand CCBHCs to an estimated 40,000 additional individuals, does not increase FTE positions, and revises Sec. 1002 including to prioritize new CCBHCs in counties without an existing CCBHC. Senate includes $135.9 million Gross ($25.0 million GF/GP) to expand CCBHCs, does not increase FTE positions, and includes $250,000 state restricted for a study. Conference includes $161.8 million Gross ($30.1 million GF/GP) and authorizes 12.0 FTE positions, and includes a study.
23-24 Expenditures: $386,381,700
Increase for 24-25 Budget: $161,768,800
https://www.house.mi.gov/hfa/PDF/Summaries/24s747s1cr1_general_omnibus_conference_report_summary.pdf
The final question, how much is Michigan spending on healthcare this year? The enumerated list below from both the general omnibus and educational omnibus is a list of all expenditures which affect Healthcare in some way.
DEPARTMENT OF AGRICULTURE AND RURAL DEVELOPMENT:
Emergency management—FTEs 8.0
3,553,100
Emerging contaminants in food and agriculture—FTEs 6.0
2,109,900
BUREAU OF FOOD SAFETY AND ANIMAL HEALTH
41,051,800
Total: 46,714,800
DEPARTMENT OF CORRECTIONS:
Employee wellness programming—FTEs 8.0
2,378,200
HEALTH CARE
374,653,000
Total: 377,031,200
DEPARTMENT OF EDUCATION (General Omnibus):
Adolescent and school health
334,100
School support services operations —FTEs 82.6
15,969,300
Community health worker career center
325,000
Mental health training
275,000
Total: 16,903,400
DEPARTMENT OF ENVIRONMENT, GREAT LAKES, AND ENERGY:
Emergency cleanup actions
2,000,000
Drinking water and environmental health—FTEs 160.0
40,471,600
Microplastics research
2,000,000
Total: 44,471,600
DEPARTMENT OF GENERAL GOVERNMENT:
Public safety initiative—FTE 1.0
888,300
Sexual assault law enforcement—FTEs 5.0
1,480,000
Division on deaf, deaf/blind, and hard of hearing—FTEs 6.0
753,500
Michigan veterans facility ombudsman
368,600
Worker’s compensation
177,100
Organ donor program
129,100
Michigan public safety communications system—FTEs 137.0
49,373,100
Menstrual products
1,400,000
MPSCS lifecycle replacement
25,000,000
Worker’s compensation
44,400
Living donor tax credit
750,000
Insurance provider assessment program—FTEs 10.0
2,231,700
Emergency 911 payments
49,118,600
Health and safety fund grants
1,500,000
Recreational marihuana grants
96,380,000
Public safety and violence prevention fund
75,000,000
Total: 304,594,400
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Total: 37,646,231,100
DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES
Worker’s compensation
1,200
Insurance complaints and health care appeals outreach campaign
250,000
Total: 251,200
JUDICIARY
Drug treatment courts—FTEs 2.0
12,962,000
Mental health courts and diversion services—FTE 1.0
5,712,000
Veterans courts
1,061,200
Drug case-flow program
250,000
Drunk driving case-flow program
3,300,000
Prescription compliance through oral fluid testing program
500,000
OASI, Social Security
7,944,600
Total: 31,729,800
DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY
Bureau of services for blind persons—FTEs 116.0
29,736,700
Centers for independent living
19,718,600
Michigan rehabilitation services—FTEs 555.0
145,412,200
Personal assistance services reimbursement for employment program
400,000
Compensation supplement fund
820,000
First responder presumed coverage claims
4,000,000
Insurance funds administration—FTEs 23.0
4,817,500
Michigan occupational safety and health administration—FTEs 217.0
37,474,600
Private and occupational distance learning—FTEs 3.0
872,400
Radiation safety section—FTEs 26.0
4,106,100
Worker’s compensation board of magistrates—FTEs 10.0
2,302,400
Worker’s disability compensation agency—FTEs 56.0
9,982,500
Worker’s disability compensation appeals commission—FTEs 4.0
355,100
Michigan women’s commission—FTEs 2.0
1,540,400
Centers for independent living
1,000,000
Health and healing center
1,500,000
Healthcare grants
43,025,000
Nutritional support program grant
2,000,000
PsyGenics
250,000
Public safety grants
45,800,000
Right to counsel
1,500,000
School psychologists programming
1,000,000
Michigan rehabilitation services
275,000
Total: 357,888,500
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
Worker’s compensation
93,400
Liquor Control Commision
22,807,500
Bureau of community and health systems—FTEs 164.0
26,253,600
Bureau of fire services—FTEs 86.0
14,173,200
Bureau of professional licensing—FTEs 198.0
42,445,800
Bureau of survey and certification—FTEs 175.0
29,068,200
Corporations, securities, and commercial licensing bureau—FTEs 107.0
16,467,700
Urban search and rescue
1,000,000
Cannabis Regulatory Agency
33,649,200
Firefighter training grants
2,300,000
Liquor law enforcement grants
9,900,000
Marihuana operation and oversight grants
3,000,000
Bureau of fire services - smoke detectors
1,000,000
Cannabis regulatory agency social equity program
1,000,000
Health professions implicit bias study
250,000
Total: 202,408,600
DEPARTMENT OF LIFELONG EDUCATION, ADVANCEMENT, AND POTENTIAL
Child development and care contracted services
22,900,000
Child development and care external support
11,028,100
Child care licensing and regulation—FTEs 172.0
29,626,300
Total: 63,554,400
DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
Military family relief fund
150,000
MICHIGAN VETERANS AFFAIRS AGENCY
22,332,500
MICHIGAN VETERANS FACILITY AUTHORITY
103,713,700
Special maintenance - veterans’ facilities
500,000
Land and acquisitions
1,000,000
Veterans of foreign wars national home
1,500,000
County veteran service grants
4,038,200
Michigan veterans affairs agency administration
90,000
Military training sites and support facilities
46,500
Total: 133,370,900
DEPARTMENT OF NATURAL RESOURCES
Forest fire equipment
931,500
Wildfire protection and Wilderness Response-FTEs 137.0
22,019,000
Federal - rural community fire protection
1,050,000
Total: 24,000,500
DEPARTMENT OF STATE POLICE
Biometrics and identification—FTEs 60.0
11,563,600
Office of school safety—FTEs 6.0
1,379,700
State 911 administration—FTEs 5.0
1,140,200
Emergency management and homeland security—FTEs 64.0
16,973,800
Hazardous materials programs—FTEs 25.0
23,636,000
Disaster and emergency contingency fund
10,000,000
Disaster recovery grants
3,200,000
Public safety academy assistance program
10,000,000
Total: 77,893,300
STATE TRANSPORTATION DEPARTMENT
Worker’s compensation
1,616,600
Total: 1,616,600
SUPPLEMENTAL APPROPRIATIONS FOR FISCAL YEAR 2023-2024
Animal disease prevention and response
5,000,000
Monroe County Community College – Renovation and addition to Welch Health Education Building (HEB) (total authorized cost $21,864,400; state share $10,932,200; college share $10,932,200)
100
Department of Health and Human Services GROSS APPROPRIATION
1,582,699,400
Bureau of services for blind persons
5,000,000
First responder presumed coverage claims
2,000,000
Radiation safety section—FTEs 4.6
582,000
Michigan veterans affairs agency administration
750,000
Biometrics and identification
600,000
Disaster and emergency contingency fund
10,000,000
Emergency alert system upgrades
(1,500,000)
Emergency alert system upgrades
1,500,000
Hazard mitigation assistance loan program
500,000
Total: 1,608,631,500
Department of Education (Education Omnibus)
employing school nurses, classroom aides, school social workers, and community health workers;
2,425,000.00
governor’s emergency education relief fund
13,300,000
payments to intermediate districts for pupils who are placed in juvenile justice service facilities operated by the department of health and human services
1,355,700
payments to the educating district or intermediate district for educating pupils assigned by a court or the department of health and human services to reside in or to attend a juvenile detention facility or child caring institution licensed by the department of health and human services and approved by the department to provide an on-grounds education program.
7,650,000
primary health care services provided to children and adolescents up to age 21
33,000,000
the state portion of the hearing and vision screenings
10,150,000
to add licensed behavioral health providers for general education pupils, and recipients of the funds under subsection (6)
106,545,000
to be distributed to the network of child and adolescent health centers to place a licensed master’s level behavioral health provider in schools that do not currently have services available to general education students
14,300,000
for the provision of mental health and support services to general education students
87,245,000
for grants to support and demonstrate innovative partnerships to train school-based mental health service providers
1,000,000
addressing priority substance abuse treatment, prevention, and mental health needs
1,500,000
to South Lyon Community Schools for student mental health services
700,000
to support student mental health, school safety, the educator workforce, and academic interventions
598,000,000
for reporting actual costs incurred by a nonpublic school in complying with a health, safety, or welfare requirement mandated under state law containing each health, safety, or welfare requirement mandated by a law or administrative rule of this state applicable to a nonpublic school and with a reference to each relevant provision of law or administrative rule for the requirement
1,000,000
Total: 878,170,700
This brings Overall Total to $ 41,815,462,500 spent on Healthcare in the state of Michigan for the 2024-2025 Fiscal Year, which is a very conservative estimation for the total expenditures. For instance, this list does not take into account expenses such as administrative costs from LARA, which is one of the largest departments of the Michigan government.