LHD Health Services - Michigan Association for Local ...



LHD Health Services

Designated Health Services – Part 22 of the PHC requires DCH to develop organized programs to promote public health and prevent disease, and it prescribes broad powers to carry out these duties, including authorization of a LHD to exercise duties and the use of LHDs as the primary organization responsible for the delivery of services and programs established by DCH. (MCL 333.2221, 2226, 2235).

Required Health Services – Defined as: A LHD service specifically required in Part 24 of the PHC or elsewhere in state law, unless specifically excluded. (MCL 333.2408(1)), a Basic Service identified under Part 23, designated for delivery through a LHD is a required service for the local fiscal year covered by the appropriation. (MCL 333.2321(2)).

Basic Services – Those health services which are appropriated on an annual basis from the list of proposed basic services proposed annually by DCH related to the budget and based on recommendations as the result of broad participation under the State Health Plan. (MCL 333.2310 et seq) Note that the budget for the current fiscal year contains a list of services that the legislature requires DCH to include in their list of basic services in BP section 208 as follows:

• Immunizations

• Communicable Disease Control

• STD Control

• TB Control

• Prevention of GC eye infections in NB

• NB Screening

• Emergency Management Plan (Community Health Annex)

• Prenatal Care

(Note that these requirements are not included in the Executive Recommendation for FY 12).

Essential Services – The current budget included a boilerplate provision related to the funding of “essential services” which requires funds appropriated in Part 1 for “essential local public health services” to be “prospectively allocated to local health departments” to support the following:

• Immunizations

• Infectious Disease Control

• STD Control and Prevention

• Hearing Screening

• Vision Services

• Food Protection (w/consultation of Dept of Ag).

• Public water and private groundwater supply (w/consultation of DEQ)

• On-site sewage management (w/consultation of DEQ)

(Note: these requirements are continued in the Executive Recommendation for FY 12 under section 4-502).

Other Statutory Requirements for Services by LHDs:

• Family Planning for indigent women (MCL 333.9131 et seq, R 325.151 et seq)

• Health Education and Nutrition Services (MCL 333.2433)

• HIV/AIDS testing, counseling, partner notification (MCL 333.5114, 5114c, 5923)

• Serious Communicable Disease (including TB) (MCL 333.5117) (R 325.171 et seq)

• Free Hearing and Vision testing and screening (MCL 9301, R 325.13091)

• Public Swimming Pool inspections (MCL 333.12524, R 325.2111 et seq)

• Campground inspections (MCL 333.12510, R 325.1551 et seq)

• Wastewater systems (MCL 333.12751 et seq, R 299.2901 et seq)

• Food Protection (MCL 289.3105 –authorizes Dept of Ag)

• Pregnancy—Informed Consent (MCL 333.17015)

• Water supply and drinking water (MCL 333.12701 et seq, 333.1001 et seq, R 325.1601 et seq, R 325.10101 )

Allowable Services – a health service delivered in a city, county, district, (or part thereof), which is not a required service but one which DCH determines is eligible for cost reimbursement. (MCL 333.2403(1)).

Continuation of services -- During the transition period, a city exercising its option to change its election to operate a local health department must continue “local financial support for affected services at a level considered by the department to be consistent with support previously provided by the city, or with the requirements of the approved plan.”

Contract for services – A city (county, or district) may enter into an intergovernmental contract necessary or appropriate to a reorganization or an assumption or relinquishing of a health jurisdiction or function authorized by Part 24 (and must include protections for transferred employees). (MCL 333.2448)

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