Human services: medical services; certain personal service agreements; allow. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 112l.

HB 5405 allows individuals applying for Michigan's medical assistance program to pay family members or household members for personal care services (like home maintenance, meal prep, or transportation) without risking disqualification. It creates two types of agreements: "qualified" (written, signed, and detailing services) and "affirmed" (oral or partial written with verification), both requiring payments at local fair market rates. The state must accept these payments as legitimate, preventing penalties for "divestment" (counting them as asset transfers that would affect eligibility). This directly affects seniors and disabled residents using family for care while seeking medical assistance.