Citizens Research Council of Michigan
 
Publications Tax Outline Economic Development State Budget Analysis Health Programs Almanac
Contact
  Search

  Email Update
 
 
Home
CRC in the News
About Us
Staff
Directors
Links
 
 OUTLINE
PDF
CONTENTS
GLOSSARY
APPROPRIATIONS
REVENUE
 
 PROGRAMS
PROVIDER
Purchase
Subsidization
Regulation
 
Democracy Works When People Support It
 
CRC Column

 

Michigan Health Funding Patterns

The outline shows the sources of funding for health programs according to the eight major categories used in appropriations acts and for state accounting purposes. These are:

  1. General Fund/General Purpose. State revenues are deposited in the General Fund of the state of Michigan and are categorized as general purpose or special purpose (also called restricted). Revenues which are not specified to be used for specific purposes according to law are known as general-purpose funds.
  2. General Fund/Special Purpose. State revenues that are restricted by law to be used for certain purposes are designated as special purpose or restricted funds. Examples include Healthy Michigan (certain revenues raised from the taxing of cigarette and tobacco products) and Michigan Health Initiative monies (funds raised from the taxing of computer software retail sales).
  3. Federal. Funds received from the Federal Government.
  4. Local. Funds received from local governmental units including school districts.
  5. Private. Monies received by the state from private sources including foundations.
  6. Interdepartmental Grant. Funds originally appropriated to one department are sometimes used to obtain services from another. An example is the Department of Corrections that gains forensic mental health services from the Department of Community Health.
  7. Purchase of Service. Other units of government or organizations purchase some state services.
  8. Special Revenue. Certain revenues such as those for the School Aid Fund are not placed in the General Fund of the State, but are maintained in separate accounts to be used only for specified purposes.

The following tables and charts show how these funding sources are used for health programs in general and how they are used to support for the four approaches the state used to address health matters.

Michigan 2001 Total Appropriations by Major Category
(in thousands)
  1 2 3 4 5 6
  Health Outline Items Duplicated Health Insurance Amounts in Outline Items Health Insurance Non-Outline Items Total Health =
Column 1
Minus
Column 2
Plus
Column 3 		2001 Net Appropriations Without Health Items 2001 Appropriations Net of Vetoes & IDGs
Agriculture $19,398 $1,339 $5,899 $23,959 $64,277 $88,236
Attorney General 4,731 417 6,179 10,493 41,427 51,920
Capital Outlay         464,995 464,995
Career Development     12,567 12,567 509,840 522,406
Civil Rights     1,882 1,882 13,390 15,273
Community Colleges 17,139     17,139 307,872 325,012
Civil Service     2,530 2,530 24,576 27,106
Community Health 8,371,015 55,302 13,448 8,329,160 163,130 8,492,291
Consumer 75,580 6,860 39,751 108,471 421,176 529,647
Corrections 163,968 10,926 206,218 359,260 1,337,888 1,697,148
Education 290,424   5,088 295,512 633,463 928,975
Environment 43,181 4,754 13,220 51,646 340,353 391,999
Executive Office     933 933 4,747 5,680
Family Independence     148,228 148,228 3,442,830 3,591,058
Higher Education 107,100   11 107,111 1,797,890 1,905,001
Judiciary     6,481 6,481 226,825 233,306
Legislature         106,421 106,421
Legis Auditor General         13,450 13,450
Library of Michigan         39,917 39,917
Management & Budget     10,619 10,619 80,798 91,417
MSF 50,000   2,579 52,579 116,404 168,983
Military 54,907 7,595 4,346 51,658 49,515 101,173
Natural Resources     24,722 24,722 227,042 251,763
School Aid 13,670   534,100 547,770 10,384,566 10,932,335
State 104   22,543 22,647 108,834 131,481
State Police 3,571 154 39,615 43,033 338,587 381,620
Transportation     34,894 34,894 2,932,951 2,967,845
Treasury     21,901 21,901 324,233 346,134
Revenue Sharing         1,600,600 1,600,600
Debt Service         91,571 91,571
TOTAL $9,214,788 $87,347 $1,157,753 $10,285,194 $26,209,564 $36,494,758
Health Insurance Premium
    Cost for Current
    State Employees		     455,800          
Health Insurance Premium
    Cost for Retired
    State Employees		     255,200          
    Subtotal     $711,000          
Health Insurance Cost for
    Public School Retirees
    in School Aid		     534,100          
Total Health Ins
    ($87,347 + $1,157,753)		   $1,245,100          
Michigan Health Programs Funding by Category
(In Thousands)
  Purchase Direct Provision Subsidization Regulation Total
Department Amount Percent Amount Percent Amount Percent Amount Percent Amount
Agriculture 0 0.0% 0 0.0% 0 0.0% $19,398 100.0% $19,398
Attorney General 0 0.0% 0 0.0% 0 0.0% $4,731 100.0% $4,731
Community Colleges 0 0.0% 0 0.0% 17,139 100.0% 0 0.0% $163,968
Community Health $7,736,615 92.4% $551,106 6.6% $69,617 0.8% $13,675 0.2% $8,371,015
Consumer & Industry Services 1,077 1.4% 0 0.0% 0 0.0% 74,503 98.6% $75,580
Corrections 65,928 40.2% 98,040 59.8% 0 0.0% 0 0.0% $163,968
Education 1,032 0.3% 0 0.0% 303,062 99.7% 0 0.0% $304,094
Environmental Quality 0 0.0% 0 0.0% 0 0.0% $43,181 100.0% $43,181
Higher Education 0 0.0% 0 0.0% 107,100 100.0% 0 0.0% $163,968
Michigan Strategic Fund 0 0.0% 0 0.0% 50,000 100.0% 0 0.0% $163,968
Military and Veterans Affairs 0 0.0% 54,907 100.0% 0 0.0% 0 0.0% $ 54,907
State 0 0.0% 104 100.0% 0 0.0% 0 0.0% $ 104
State Police 0 0.0% 3,571 100.0% 0 0.0% 0 0.0% $ 3,571
SUBTOTAL $7,804,652 84.7% $707,728 7.7% $546,919 5.9% $155,489 1.7% $9,214,788
                   
Health Insurance
    Reduce by Amount
    in Outline Items		 -$87,347               -$87,347
    Add Amount
    Not Included
    in Outline Items		 $1,157,753               $1,157,753
TOTAL $8,875,059 86.3% $707,728 6.9% $546,919 5.3% $155,489 1.5% $10,285,194
                   
Total State Appropriations
    Net of Vetoes
    and
    Interdepartmental
    Grants and
    Transfers		                 $36,494,758
                   
Health Outline Amounts as a Percent of Total                 28.18%
Michigan Health Programs Funding Summary by Source of Funds
(In Thousands)
Department General Fund/
General Purpose		 General Fund/
Special Purpose		 Federal Local Private Intergovernmental
Grant		 Purchase of Services Special
Revenue
Funds		 Total
Agriculture $7,713 2,502 206 0 0 8,978 0 0 $19,398
Attorney General 1,450 3,281 0 0 0 0 0 0 $4,731
Community Colleges 17,139 0 0 0 0 0 0 0 17,139
Community Health 2,677,714 282,438 4,378,528 744,051 49,278 72,087 166,919 0 8,371,015
Consumer & Industry Services 16,521 21,694 31,647 0 0 109 0 5,609 75,580
Corrections 162,472 84 1,413 0 0 0 0 0 163,968
Education 1,428 8,632 280,364 0 0 0 0 0 304,094
Environmental Quality 15,249 19,547 7,691 0 0 609 0 86 43,181
Higher Education 107,100 0 0 0 0 0 0 0 107,100
Michigan Strategic Fund 0 50,000 0 0 0 0 0 0 163,968
Mil. & Vet. Affairs 20,781 17,762 15,989 0 0 0 0 375 54,907
State 104 0 0 0 0 0 0 0 104
State Police 335 2,373 863 0 0 0 0 0 3,571
SUBTOTAL 3,028,006 408,312 4,716,700 744,051 49,279 81,783 166,919 19,739 9,214,788
Add Health Insurance
State Employees		 320,728               320,728
Public Schools               543,100 543,100
Non-Allocable                 215,579
TOTAL 3,348,734 408,312 4,716,700 744,051 49,279 81,783 166,919 553,839 10,285,196
Michigan Health Programs Funding Summary -- Direct Provision
(In Thousands)
Department General Fund/
General Purpose		 General Fund/
Special Purpose		 Federal Local Private Intergovernmental
Grant		 Purchase of Services Special
Revenue
Funds		 Total
Community Health $218,393 $23,565 $51,415 $16,596 $2,230 $71,989 $166,919 0 $551,106
Corrections 97,956 84 0 0 0 0 0 0 98,040
Mil. & Vet. Affairs 20,781 17,762 15,989 0 0 0 0 375 54,907
State 104 0 0 0 0 0 0 0 104
State Police 335 2,373 863 0 0 0 0 0 3,571
TOTAL 337,570 43,783 68,267 16,596 2,230 71,989 166,919 375 707,728
Michigan Health Programs Funding Summary -- Purchase
(In Thousands)
Department General Fund/
General Purpose		 General Fund/
Special Purpose		 Federal Local Private Intergovernmental
Grant		 Purchase of Services Special
Revenue
Funds		 Total
Community Health $2,442,304 $246,077 $4,273,772 $727,454 $47,008 $0 $0 $7,736,615
Consumer & Industry Services 0 0 183 0 0 0 0 894 1,077
Corrections 64,516 0 1,413 0 0 0 0 65,928
Education 0 1,032 0 0 0 0 0 0 1,032
TOTAL 2,506,820 247,109 4,275,367 727,454 47,008 0 0 894 7,804,652
Michigan Health Programs Funding Summary -- Regulation
(In Thousands)
Department General Fund/
General Purpose		 General Fund/
Special Purpose		 Federal Local Private Intergovernmental
Grant		 Purchase of Services Special
Revenue
Funds		 Total
Agriculture $7,713 $2,502 $206 $0 0 $8,978 $0 $0 $19,398
Attorney General $1,450 3,281 0 0 0 0 0 0 $4,731
Community Health $4,074 $607 $8,896 $0 $0 $99 $0 $0 $13,675
Consumer & Industry Services 16,521 21,694 31,464 0 0 109 0 4,715 74,503
Environmental Quality 15,249 19,547 7,691 0 0 609 0 86 43,181
TOTAL $45,006 $47,630 $48,257 $0 $0 $9,795 $0 $4,801 $155,489
Michigan Health Programs Funding Summary -- Subsidization
(In Thousands)
Department General Fund/
General Purpose		 General Fund/
Special Purpose		 Federal Local Private Intergovernmental
Grant		 Purchase of Services Special
Revenue
Funds		 Total
Community Colleges $17,139 0 0 0 0 0 $0 $17,139
Community Health $12,943 $12,190 $44,445 $0 $40 $0 $0 $69,617
Education 1,428 7,600 280,364 0 0 0 0 0 303,062
Higher Education $107,100 0 0 0 0 0 0 $107,100
Michigan Strategic Fund 0 $50,000 0 0 0 0 0 $50,000
TOTAL 138,610 69,790 324,809 0 0 0 0 13,670 546,919

 

 

 

 

 

 

Last Updated May 17, 2006