Healthcare (Insurance)

in committee · Michigan · House Feb 10, 2026

HB 5512: Insurance: health insurers; procedures and timelines for the credentialing of health care providers; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406uu. TIE BAR WITH: HB 5513'26

HB 5512 sets clear timelines for health insurers to process applications from healthcare providers seeking to join their provider networks. Insurers must acknowledge receipt within 7 days, notify providers of incomplete applications within 30 days (giving them 30 days to fix issues), and complete the credentialing process within 60 days total. If approved, insurers must reimburse providers for covered services starting from when the completed application was received. This directly affects doctors, clinics, and other healthcare providers applying to be in insurer networks, ensuring faster access to network participation.

Topics ✓ HealthcareSupports HealthcareSets strict timelines for insurer credentialing, improving provider network access and patient care by reducing delays in provider enrollment and reimbursement.95% confidence

Sub-Topics Insurance Medical Licensing

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in committee · Michigan · Senate Feb 26, 2026

SB 805: Health facilities: other; licensure of freestanding hyperbaric oxygen therapy facilities; provide for. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding secs. 21211, 21213, 21215, 21217, 21219, 21221, 21223, 21227 & 21231 to pt. 212. TIE BAR WITH: SB 0803'26, SB 0804'26, SB 0806'26

SB 805 establishes licensing requirements for standalone hyperbaric oxygen therapy clinics in Michigan. It mandates that these facilities obtain state licensure, appoint a qualified medical director and safety coordinator, comply with NFPA 99 safety standards, and meet FDA-approved treatment protocols. Clinics must display their license/permit and accreditation publicly, provide patients with clear information about treatment risks, FDA-approved uses, and insurance coverage limitations, and obtain written consent before treatment. The bill directly affects clinic operators, healthcare providers, and patients receiving hyperbaric oxygen therapy, ensuring standardized safety and transparency.

Topics ✓ HealthcareSupports HealthcareMandates safety standards, medical oversight, and patient transparency for hyperbaric therapy facilities, protecting patient safety and informed consent in healthcare services.95% confidence

Sub-Topics Insurance Medical Licensing Primary Care

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in committee · Michigan · House Mar 3, 2026

HB 5590: Health facilities: other; licensure of freestanding hyperbaric oxygen therapy facilities; provide for. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding secs. 21211, 21213, 21215, 21217, 21219, 21221, 21223, 21227 & 21231 to pt. 212. TIE BAR WITH: HB 5591'26, HB 5592'26, HB 5593'26

HB 5590 requires freestanding hyperbaric oxygen therapy facilities (which use pressurized oxygen chambers for medical treatment) to obtain state licensure. It directly affects facility owners, operators, medical directors, and safety coordinators by mandating specific qualifications, safety protocols (like NFPA 99 compliance), and accreditation standards. Facilities must publicly display licenses, accreditation, FDA-approved treatment indications, and safety rules, and provide patients with written information about risks, benefits, and insurance coverage limitations. The bill also requires facilities to document compliance with safety standards and patient consent forms detailing FDA-approved uses.

Topics ✓ HealthcareSupports HealthcareMandates licensure, safety protocols (NFPA 99), and accreditation for hyperbaric facilities to ensure patient safety and quality standards, advancing healthcare service regulation.95% confidence

Sub-Topics Insurance Medical Licensing

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in committee · Michigan · Senate Jan 28, 2026

SB 772: Insurance: health insurers; reimbursement rate for telehealth visits; modify. Amends sec. 3476 of 1956 PA 218 (MCL 500.3476).

SB 772 requires health insurers in Michigan to reimburse telehealth visits at the same rate as in-person visits, using the same billing codes. It prohibits insurers from mandating face-to-face visits for services that can be safely provided via telemedicine, as determined by the treating healthcare professional. This applies to all health insurance policies covering telehealth services, directly affecting insurers, healthcare providers, and patients using telehealth. The bill ensures telehealth coverage parity without adding new requirements for providers or altering patient cost-sharing (like copays or deductibles). It modifies existing insurance code language to standardize reimbursement practices for telemedicine.

Topics ✓ HealthcareSupports HealthcareRequires equal telehealth reimbursement rates and removes insurer barriers, improving patient access to healthcare services per bill language.95% confidence ✓ TechnologySupports TechnologyMandates equal reimbursement for telehealth visits, removing financial barriers and promoting technology-enabled healthcare access.92% confidence

Sub-Topics Insurance Telehealth

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in committee · Michigan · House Dec 31, 2025

HB 5436: Insurance: health insurers; coverage for hearing aids or hearing-related services for certain enrollees; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406uu.

HB 5436 requires health insurers in Michigan to cover hearing aids and related services for qualifying enrollees. It mandates coverage up to $3,000 per hearing aid every 36 months (adjusted annually using the Consumer Price Index starting in 2026), including evaluations, fittings, repairs, and related devices like earmolds. To qualify, an enrollee must be evaluated for hearing loss by an audiologist and medically confirmed as a hearing aid candidate by an otolaryngologist. Insurers may apply existing cost-sharing (like deductibles) but cannot exceed the $3,000 cap per device.

Topics ✓ HealthcareSupports HealthcareMandates health insurers to cover hearing aids and related services, expanding access for qualifying enrollees with hearing loss per medical evaluation.95% confidence

Sub-Topics Insurance

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in committee · Michigan · House Dec 11, 2025

HB 5353: Insurance: health insurers; coverage for certain recommended immunizations; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406uu. TIE BAR WITH: HB 5351'25

HB 5353 requires Michigan health insurers to cover all immunizations listed in the state's Public Health Code (MCL 333.9227) under health insurance policies. This applies to insurers offering policies in Michigan, directly affecting both insurers and policyholders who need these vaccinations. The bill adds a new section (3406uu) to the insurance code, mandating coverage for recommended vaccines without additional cost to the patient. The law will only take effect if companion bill HB 5351 is also enacted.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover all recommended vaccines at no patient cost, expanding preventive care access and aligning with public health programs.95% confidence

Sub-Topics Insurance Public Health

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in committee · Michigan · Senate Dec 2, 2025

SB 718: Insurance: health insurers; coverage for treatment of menopause and perimenopause symptoms and waiver of prior authorization for prescription drugs or treatments for menopause and perimenopause symptoms; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406zz.

This bill requires Michigan health insurers to cover medically necessary treatments for menopause and perimenopause symptoms, including FDA-approved hormone therapy. It specifically prohibits insurers from demanding prior authorization, step therapy, or "fail-first" protocols for hormone therapy prescriptions related to these conditions. The law applies directly to health insurance policies sold in Michigan and affects patients experiencing menopause or perimenopause symptoms who seek treatment. Key provisions ensure coverage for treatments without additional administrative barriers typically imposed by insurers. The bill defines menopause as permanent cessation of menstruation and perimenopause as the transitional phase before menopause.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage for menopause/perimenopause treatments without prior authorization, improving patient access and removing barriers to care for specified health conditions.95% confidence

Sub-Topics Insurance

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in committee · Michigan · House Jun 26, 2025

HB 4684: Insurance: health insurers; pain management service plan; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ww.

HB 4684 requires Michigan health insurers to create and submit a plan ensuring coverage for a broad range of pain management services, including nonopioid medications and nonmedication alternatives to opioids. The plan must be filed with the state insurance department for approval, which will review whether the plan adequately covers alternatives to opioids without unduly favoring opioid prescriptions. Insurers must also distribute educational materials to network providers and post the plan on their public website. This bill directly affects all health insurers operating in Michigan who issue, deliver, or renew health insurance policies in the state.

Topics ✓ HealthcareSupports HealthcareRequires insurers to cover nonopioid pain management alternatives, expanding patient access to safer treatments and reducing opioid dependency through mandated coverage plans.95% confidence

Sub-Topics Insurance Substance Abuse

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in committee · Michigan · House Nov 5, 2025

HB 5199: Insurance: health insurers; age eligibility for coverage for annual breast cancer mammography examination; lower. Amends sec. 3406d of 1956 PA 218 (MCL 500.3406d).

HB 5199 lowers the minimum age for insurance coverage of annual breast cancer mammograms in Michigan. It would require health insurers to cover annual mammograms for women starting at a lower age than the current 35-year threshold (while maintaining the existing requirement for annual coverage for women 40 and older). The bill preserves current mandates for insurers to cover breast cancer diagnostic, outpatient treatment, and rehabilitative services without less favorable terms than general physical illness coverage. This applies to all health insurance policies delivered, issued, or renewed in Michigan.

Topics ✓ HealthcareSupports HealthcareLowers age threshold for mammogram coverage, expanding preventive care access for younger women without reducing existing benefits.95% confidence

Sub-Topics Insurance

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in committee · Michigan · Senate Mar 13, 2025

SB 149: Public employees and officers: compensation and benefits; regional airport authorities; include in the publicly funded health insurance contribution act. Amends sec. 2 of 2011 PA 152 (MCL 15.562).

SB 149 amends Michigan's Publicly Funded Health Insurance Contribution Act to update the definition of "public employer" to explicitly include regional airport authorities (as defined in the aeronautics code) and community colleges. This change requires these entities to contribute to the state's health insurance fund for their employees, as previously required of other public employers like school districts. The bill does not alter health benefits or costs but clarifies which organizations must comply with the act's contribution rules. It directly affects public employers such as community colleges, regional airport authorities, and other newly included entities.

Topics ✓ HealthcareSupports HealthcareRequires regional airports and community colleges to contribute to public health insurance fund, expanding coverage scope without altering benefits or costs.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands health insurance contribution requirements to include regional airports and community colleges, extending existing public employee benefits coverage to more workers without altering benefits or costs.85% confidence

Sub-Topics Insurance

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