HB 5604 allocates state funding for Medicaid and behavioral health services under Michigan's Department of Health and Human Services for the 2026-2027 fiscal year (ending September 30, 2027). It provides the specific budget amounts needed to cover these programs, directly affecting Medicaid recipients and behavioral health providers across the state. The bill is procedural, establishing the legal framework for spending these funds but not changing program rules or eligibility.
HB 5606 allocates funding for the Michigan Department of Health and Human Services (MDHHS) to support human services programs during fiscal year 2026-2027. The bill creates the formal appropriation act that authorizes the department to spend these funds on services like Medicaid, food assistance, and child welfare programs. This is a routine funding measure that directly affects MDHHS operations and the state's human services recipients, without changing program policies or eligibility.
HB 5478 requires health insurers to pay complete claims (claims with all necessary information) within 45 days of receipt. If payment is delayed beyond this deadline, insurers must pay 12% simple interest on the claim amount, accruing from 60 days after the claim was received. This applies to health plans paying health professionals, facilities, and providers for services, but excludes worker's compensation claims and Medicaid claims. The interest is paid in addition to the claim amount when settlement occurs.
HB 5303 modifies Michigan's Medicaid managed care contracts to ensure fair reimbursement for small pharmacies (with 7 or fewer retail outlets). It requires pharmacy benefit managers to use specific payment methods - such as the lesser of national average drug costs plus a professional fee or a pharmacy's usual charge - and prohibits them from taking part of that fee. The bill also mandates transparent pricing (disclosing administrative fees as a percentage) and bans new or excessive fee increases beyond inflation. These changes directly affect Medicaid managed care organizations and small pharmacies serving Michigan Medicaid patients.
SB 717 requires Michigan's Medicaid program to cover medically necessary treatments for menopause and perimenopause symptoms, including hormone replacement therapy and FDA-approved treatments, without requiring prior authorization. The bill prohibits step therapy or "fail-first" protocols for these treatments, meaning patients won't be forced to try other medications first. This applies to all Medicaid beneficiaries in Michigan seeking care for these conditions and directly affects how the state's health department administers coverage under the medical assistance program.
HB 4750 requires Michigan's foster care department to use or save existing benefits (such as Medicaid or education funds) for children in foster care when it serves their best interests, directly affecting all children in the state's foster care system. The bill amends Michigan's foster care law to mandate this approach, ensuring benefits are prioritized for the child's well-being rather than other uses. Key provisions include adding a new section (8f) to the existing law, directing the department to make decisions based on each child's specific needs. This policy change clarifies how resources must be managed without specifying new funding or programs.
Senate Resolution 50 is a resolution from the Michigan Senate that urges the President of the United States and the United States Congress to fully fund Medicaid. It also calls on them to reject any proposals that would reduce access for those in need or shift costs onto states, healthcare providers, and vulnerable individuals.
House Resolution 115 is a resolution from the Michigan House of Representatives that urges the President and the United States Congress to fully fund Medicaid. It also calls on federal officials to reject any proposals that would reduce access to care or shift costs onto states, healthcare providers, and vulnerable individuals.
HB 4739 removes age restrictions for Medicaid coverage of autism spectrum disorder (ASD) diagnosis and treatment in Michigan. It requires the state department to cover these services for all Medicaid-eligible individuals, including those aged 21 and older, within 180 days of the bill’s effective date. The bill mandates the department to seek federal approval to amend Michigan’s Medicaid plan to include these services for adults. This directly affects Medicaid recipients with ASD, ensuring continued access to diagnostic and treatment services regardless of age.
SB 38 amends Michigan's Social Welfare Act to explicitly include perinatal and gynecological services in Medicaid coverage for eligible individuals. The bill updates Section 109 (MCL 400.109) to require the department to provide guidelines ensuring these services are covered under the state's medical assistance plan. This directly affects Medicaid recipients in Michigan who need care related to pregnancy, childbirth, postpartum recovery, or women's health conditions. The change ensures these services are formally recognized in coverage rules, aligning with existing Medicaid requirements for other medical services.
