Human services: medical services; requirement to prescribe generic medications; provide for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109z.
HB 4839 requires Michigan's medical assistance program (like Medicaid) to cover only generic drugs when a brand-name equivalent exists, unless a doctor specifically indicates otherwise on the prescription. Doctors can override this by writing "dispense as written" or "d.a.w." on a written prescription, initialing a preprinted statement allowing substitution, or verbally specifying brand-name use. This directly affects patients enrolled in Michigan's medical assistance program and healthcare providers writing prescriptions for covered medications. The bill aims to standardize coverage toward cost-effective generic drugs while preserving physician discretion in specific cases.
Bill status
passed both
4 of 5 stages cleared
Introduction
Sep 2025
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Governor
Introduced Sep 4, 2025
Last action May 19, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
As Passed by the House
→
Substitute (H-1)
·
2 edits
MINOR
The bill text was reformatted to remove excessive indentation and update the document tracking numbers, but the substantive legal content regarding medical assistance coverage for brand-name drugs remains unchanged.
TECHNICAL
Removed excessive whitespace and indentation from the title and enactment clause to standardize the document layout.
Updated the footer tracking codes and page numbers to reflect the new substitute version.
Floor votes · House May 13, 2026
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
14
Key actions
4
Committee
4
May 19, 2026
Committee
REFERRED TO COMMITTEE ON APPROPRIATIONS
upper
May 19, 2026
Upper · Passed
PASSED BY HOUSE WITH IMMEDIATE EFFECT
upper
May 13, 2026
Lower · Passed
passed; given immediate effect Roll Call #142 Yeas 63 Nays 43 Excused 0 Not Voting 4
lower
May 12, 2026
Lower · Passed
substitute (H-1) adopted
lower
Apr 29, 2026
Committee
referred to second reading
lower
Apr 29, 2026
Lower · Passed
reported with recommendation with substitute (H-1)
lower
Sep 4, 2025
Committee
referred to Committee on Appropriations
lower
Sep 4, 2025
Introduced
introduced by Representative Rep. Sarah Lightner
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Sarah Lightner
RRepublican
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