Michigan House Bill HB4249

Michigan 2025-2026 Regular Session

• Introduced: 3/18/25
• Refer: 3/18/25

Caption

House Bill 4249 of 2025

Summary

HB4249 is a supplemental appropriations bill for fiscal year 2024-2025 that provides $6 million in state general fund money to the Michigan Department of Treasury for one-time payments to contracted ambulance providers. The bill is narrowly targeted: it is designed to reimburse ambulance providers that are in full compliance with the Public Health Code and can document that they are owed money by a health care services provider contracted by the Department of Corrections for services provided in 2023 and 2024. The bill also sets out a process for distributing the funds. Treasury must work with the Department of Corrections within 30 days of enactment to create a grant application, publish it publicly, accept applications for 30 days, and distribute the money within 30 days after the application window closes. The bill limits payments so they cannot exceed the amount owed, requires any later litigation-settlement reimbursement to be returned to the state, and directs any leftover funds to lapse back to the general fund.

Impact

HB4249 amends state spending for FY 2024-2025 by adding a $6 million general fund appropriation to the Department of Treasury and by imposing special conditions on how those funds are administered. It affects the Treasury Department, the Department of Corrections, and ambulance providers that meet the bill’s eligibility criteria, while also incorporating existing law by referencing the Public Health Code and the Management and Budget Act. The bill does not create a permanent program; it is a one-time appropriation with specific reimbursement and repayment rules.

Sentiment

Based on the bill text and the limited context provided, the measure appears to be generally supportive of ambulance providers that are owed money for services tied to Department of Corrections contracts. The bill’s structure suggests an intent to resolve outstanding payment disputes and stabilize providers that delivered services but were not fully paid. No committee transcripts or recorded votes were provided, so there is no documented opposition or broader debate in the available materials.

Contention

The main points of contention likely concern who qualifies for reimbursement and how much can be paid. The bill limits eligibility to ambulance providers in full compliance with section 20921 of the Public Health Code and only for debts that can be verified, which may exclude providers with incomplete documentation or compliance issues. Another possible issue is the requirement that any settlement-based reimbursement be returned to the state, as well as the cap preventing payments from exceeding the amount agreed to by the former health care services provider. These provisions suggest concern about double recovery and fiscal control.