Michigan 2025-2026 Regular Session

Michigan Senate Bill SB0450

Introduced
6/26/25  
Refer
6/26/25  
Report Pass
11/13/25  
Refer
11/13/25  
Report Pass
3/10/26  
Engrossed
3/11/26  

Caption

Health facilities: hospitals; certain hospital financial assistance policies; make subject to the hospital financial assistance act. Amends sec. 17 of 1913 PA 350 (MCL 331.167). TIE BAR WITH: SB 0449'25

Impact

The proposed changes are significant as they impose clear guidelines on how hospitals assess patient eligibility for financial assistance. By granting hospital boards greater power to classify patients, the bill may streamline operations within public hospitals and potentially reduce financial burdens for institutions that provide charity care. It also aligns with existing hospital financial assistance acts, thereby integrating with current legislative frameworks governing hospital operations.

Summary

Senate Bill 450 aims to amend the Public Act 350 of 1913, which facilitates the establishment and operation of public hospitals in Michigan. Primarily, this bill extends the authority of hospital boards by enabling them to determine which patients qualify for charity care and to set compensation for patients who can financially contribute. This provision is meant to give hospitals more discretion in managing their financial assistance programs and ensuring that care is provided appropriately based on patients' resources.

Sentiment

General sentiment around SB 450 appears to be mixed. Proponents believe that granting hospitals more autonomy will enhance their ability to provide necessary care while still maintaining a sustainable financial model. However, opponents raise concerns about transparency and the possibility of patients being denied care based solely on subjective determinations made by the hospital trustees. The balance between effective hospital governance and patient rights is a critical point of contention.

Contention

There are notable points of contention regarding the bill, particularly concerning the level of authority it grants to hospital boards. Critics argue that his could lead to inequities in access to care, as decisions about charity care are in the hands of trustees who might prioritize financial considerations over patient needs. The enactment of this bill is contingent upon the passing of Senate Bill 449, highlighting the interconnectedness of these legislative efforts aimed at reforming healthcare governance in Michigan.

Companion Bills

MI SB0449

Same As Health facilities: hospitals; hospital financial assistance act; enact. Creates new act.

Previously Filed As

MI SB0449

Health facilities: hospitals; hospital financial assistance act; enact. Creates new act.

MI SB981

Hospitals - Financial Assistance and Collection of Debts - Policies

MI HB268

Hospitals - Financial Assistance and Collection of Debts - Policies

MI HB79

Establishing requirements for hospital-based financial assistance; providing for hospital-based financial assistance forms, for information about hospital-based financial assistance programs and for reporting of hospital-based financial assistance policies; and imposing duties on the Department of Health.

MI SB648

Establishing requirements for hospital-based financial assistance; providing for hospital-based financial assistance forms, for information about hospital-based financial assistance programs and for reporting of hospital-based financial assistance policies; and imposing duties on the Department of Health.

MI SB01192

An Act Concerning Hospital Financial Assistance.

MI LD1937

An Act to Require Hospitals and Hospital-affiliated Providers to Provide Financial Assistance Programs for Medical Care

MI HB5334

Health facilities: hospitals; assessment by preadmission screening unit of individual being considered for hospitalization within certain period after notification; require. Amends secs. 409 & 972 of 1974 PA 258 (MCL 330.1409 & 330.1972).

MI SB0316

Health facilities: hospitals; assessment by preadmission screening unit of individual being considered for hospitalization within certain period after notification; require. Amends secs. 409 & 972 of 1974 PA 258 (MCL 330.1409 & 330.1972).

MI SB0031

Health facilities: hospitals; certain policies on patients who are giving birth; require a hospital to adopt. Amends secs. 20201 & 21513 of 1978 PA 368 (MCL 333.20201 & 333.21513) & adds sec. 21537.

Similar Bills

No similar bills found.