Human services: medical services; primary care spending target; establish. Amends sec. 105d of 1939 PA 280 (MCL 400.105d) & adds sec. 105k.

Michigan House Bill 6288 directs the state Department of Health and Human Services to seek federal approval for enrolling specific Medicaid-eligible individuals into managed care plans, while requiring these plans to spend at least 12% of their annual budget on primary care over an eight-year period. The bill mandates that hospitals accept Medicare rates as full payment from uninsured patients with incomes up to 250% of the federal poverty level and establishes a performance bonus system for health plans based on quality metrics such as fraud detection, substance use disorder treatment, and consumer satisfaction. Additionally, it requires contracted health plans to submit annual reports detailing their primary care spending levels and outlines provisions for telemedicine access, pharmaceutical cost controls, and the sharing of state data with qualified vendors to improve population health management.