Healthcare

in committee · Michigan · House Aug 21, 2025

HB 4778: Health: immunizations; administration of gene-based vaccines; prohibit. Amends secs. 9201 & 16221 of 1978 PA 368 (MCL 333.9201 & 333.16221) & adds sec. 9228.

HB 4778 prohibits the administration of gene-based vaccines (including mRNA, modified mRNA, self-amplifying mRNA, and DNA vaccines) by any person or governmental entity in Michigan. The bill amends the Public Health Code to add Section 9228, explicitly banning the ordering or giving of these specific vaccines, while clarifying that "immunizing agents" (like traditional vaccines) remain unaffected. This directly affects healthcare providers, clinics, hospitals, and public health entities that administer vaccines, requiring them to stop using gene-based vaccines. The law focuses solely on gene-based vaccine administration and does not change requirements for other types of immunizations.

Topics ✗ HealthcareOpposes HealthcareBill prohibits administration of gene-based vaccines, restricting a healthcare service and limiting patient access to specific immunizations within public health programs.95% confidence

Sub-Topics Public Health

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in committee · Michigan · House Jun 10, 2025

HB 4563: Appropriations: department of health and human services; appropriations for fiscal year 2025-2026; provide for. Creates appropriation act.

HB 4563 provides state funding for Michigan's Department of Health and Human Services to operate health and human services programs during fiscal year 2025-2026. It allocates specific budget amounts and outlines how these funds can be spent across existing health initiatives. This bill directly affects the department's ability to deliver state-funded services like Medicaid and public health programs. It does not create new programs or change eligibility rules - it only authorizes the spending of allocated funds.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates state funds for HHS programs, directly supporting budgetary funding for public health services without tax changes or program cuts.95% confidence ✓ HealthcareSupports HealthcareAllocates state funding for existing health programs (Medicaid, public health) without restrictions, directly advancing service delivery per bill summary.95% confidence

Sub-Topics Appropriations State Budget Public Health

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in committee · Michigan · House May 21, 2025

HB 4038: Insurance: other; allocation of revenue under the insurance provider assessment act; modify. Amends sec. 13 of 2018 PA 175 (MCL 550.1763). TIE BAR WITH: HB 4037'25

HB 4038 amends Michigan's Insurance Provider Assessment Act to redirect funds collected from insurance companies. It specifies that money must be used for: (1) paying Medicaid managed care organizations up to $14 million annually for capitation rates; (2) offsetting lost revenue from health insurance claims assessments ($315 million for 2018-19, $240 million for 2019-20); and (3) funding a health data utility with $6 million in 2026, increasing to $8 million annually starting in 2028 (adjusted for inflation via the Consumer Price Index). The bill ensures these funds remain in a dedicated account and do not lapse to the general fund. This directly affects Medicaid providers, the state treasury, and the health data utility managing public health information.

Topics ✓ Budget & TaxesSupports Budget & TaxesRedirects insurance assessment revenue to fund Medicaid capitation ($14M/year) and health data utility ($6M-$8M), directly allocating existing funds to public health programs and fiscal management.90% confidence ✓ HealthcareSupports HealthcareRedirects insurance assessment funds to Medicaid capitation ($14M/yr), offset health insurance revenue loss, and funds health data utility ($6M-$8M), directly advancing healthcare funding and infrastructure.95% confidence

Sub-Topics Public Health

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in committee · Michigan · House Jul 15, 2025

HB 4723: Health facilities: other; licensure of supplemental nursing services agencies; provide for. Amends secs. 20106, 20109, 20155 & 20161 of 1978 PA 368 (MCL 333.20106 et seq.) & adds pt. 219A.

HB 4723 requires supplemental nursing services agencies to obtain state licensure under Michigan's Public Health Code. It directly affects agencies providing temporary or specialized nursing services (like travel nursing or agency staffing) by adding new licensing standards. The bill amends sections 20106, 20109, 20155, and 20161 of the Public Health Code and creates a new Part 219A to establish these licensing requirements. This is a procedural change focused on regulating how these agencies operate, not on patient care outcomes or funding. The bill was introduced on July 1, 2025, and referred to the Health Policy Committee.

Topics ✓ HealthcareSupports HealthcareRequires licensure for nursing agencies to ensure standards, enhancing regulatory oversight and patient safety in healthcare services.95% confidence

Sub-Topics Healthcare Workforce Medical Licensing Public Health

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in committee · Michigan · Senate Sep 17, 2025

SB 551: Human services: medical services; exemption of certain prescription drugs for the treatment or management of pain from the medical assistance prior authorization process; provide for. Amends sec. 109h of 1939 PA 280 (MCL 400.109h) & adds sec. 109v.

SB 551 requires Michigan's Medicaid program to cover non-opioid prescription drugs used for pain management without prior authorization, adding them to the preferred drug list within 90 days. It directly affects Medicaid patients seeking pain treatment and healthcare providers prescribing these medications. The bill prevents discriminatory coverage by ensuring non-opioid pain drugs aren't subject to stricter approval rules than opioid alternatives. This policy change streamlines access to non-opioid options under the medical assistance program.

Topics ✓ HealthcareSupports HealthcareRemoves prior authorization barriers for non-opioid pain drugs in Medicaid, improving patient access to alternatives to opioids and preventing discriminatory coverage.95% confidence

Sub-Topics Medicaid Substance Abuse

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in committee · Michigan · Senate Sep 17, 2025

SB 552: Insurance: health insurers; coverage for a nonopioid analgesic drug for pain treatment; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ll.

SB 552 requires Michigan health insurers to cover non-opioid pain medications prescribed for pain treatment, directly affecting insurers and policyholders. The bill mandates that insurers include such drugs on preferred drug lists within 90 days of FDA approval, prohibits discouraging coverage relative to opioids (e.g., labeling non-opioid drugs as "nonpreferred" when opioids are preferred), and prevents overly restrictive prior authorization for non-opioid options. It does not require insurers to cover specific drugs but ensures equal treatment compared to opioid alternatives in formularies. The law applies to all health insurance policies covering prescription drugs in Michigan.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage of non-opioid pain meds, prohibits discouraging alternatives to opioids, improving patient access to safer pain management options.95% confidence

Sub-Topics Insurance Prescription Drugs Substance Abuse

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in committee · Michigan · House Mar 19, 2026

HB 4537: Human services: medical services; use of artificial intelligence tools to make decisions regarding claims; prohibit. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 107b.

This bill prohibits Michigan's medical assistance program (Medicaid) from using artificial intelligence tools to deny, modify, or delay claims. It directly affects the state Department of Health and Human Services and private health plans contracted to administer benefits. The law explicitly bans AI-driven reviews as the sole basis for claim decisions, requiring human review instead. This change aims to prevent automated systems from making final determinations on healthcare coverage eligibility or payments.

Topics ✓ HealthcareSupports HealthcareProhibits AI from denying Medicaid claims, requiring human review to protect patient rights and prevent automated coverage denials.95% confidence ✗ TechnologyOpposes TechnologyProhibits AI from making final Medicaid claim decisions, requiring human review instead, restricting AI use in healthcare administration.95% confidence

Sub-Topics Artificial Intelligence

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in committee · Michigan · House Mar 19, 2026

HB 4536: Insurance: health insurers; use of artificial intelligence tools to make decisions regarding claims; prohibit. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ss.

HB 4536 prohibits health insurers in Michigan from denying, modifying, or delaying insurance claims based solely on artificial intelligence reviews. It directly affects health insurers operating in the state and the policyholders whose claims are processed by these insurers. The bill amends Michigan's Insurance Code (MCL 500.100-500.8302) by adding Section 3406ss, which requires insurers to use human review for claim decisions instead of relying exclusively on AI tools. This creates a clear policy change: insurers must not use AI as the sole basis for adverse claim actions.

Topics ✓ HealthcareSupports HealthcareProhibits insurers from using AI to deny/modify claims, requiring human review to protect policyholders' rights and prevent automated claim denials.95% confidence ✗ TechnologyOpposes TechnologyProhibits health insurers from using AI solely for claim decisions, restricting AI deployment in insurance sector per bill's explicit language.95% confidence

Sub-Topics Artificial Intelligence

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passed both · Michigan · House Sep 18, 2025

HB 4713: Insurance: health insurers; definition of health care insurer; include automobile insurers providing personal injury protection coverage. Amends sec. 2 of 1984 PA 323 (MCL 752.1002).

This bill amends Michigan's Health Care False Claim Act to expand the definition of "health care insurer" to include automobile insurers providing personal injury protection (PIP) coverage. PIP coverage pays for medical expenses after car accidents, and this change brings auto insurers into the same legal framework as health insurers for false claim enforcement. Previously, the law applied only to health insurers and self-insured entities, but now false claims related to PIP benefits will be subject to the same standards. This directly affects auto insurance companies operating in Michigan that offer PIP coverage.

Topics ✓ HealthcareSupports HealthcareExpands Health Care False Claim Act to include auto insurers for PIP medical coverage, strengthening enforcement against false claims for accident-related healthcare expenses, thus protecting healthcare resources.90% confidence

Sub-Topics Insurance

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passed · Michigan · Senate Jun 26, 2025

SB 266: Human services: medical services; certain personal service agreements; allow. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 112l.

SB 266 allows individuals applying for Michigan's medical assistance program (like Medicaid) to pay family members or household members for personal care services without triggering asset divestment penalties. It creates two types of valid agreements: "qualified" (written, signed in advance) and "affirmed" (oral or partial written, with documentation), both requiring payments at fair market value. Payments under these agreements won't count as asset transfers that disqualify applicants, provided they meet specific criteria like documented service details and local rate comparisons. The bill directly affects people seeking medical assistance who rely on family caregivers instead of paid providers.

Topics ✓ HealthcareSupports HealthcareAllows Medicaid applicants to pay family caregivers without asset penalties, expanding access to personal care services under medical assistance programs.95% confidence

Sub-Topics Medicaid

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