HB 4685 Michigan House · 2025-2026 Regular Session

Insurance: health insurers; collaborative care model for mental health care; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406uu.

HB 4685 requires Michigan health insurers to cover specific mental health services delivered through the psychiatric collaborative care model, directly affecting insurers offering mental health benefits and patients seeking these services. The bill mandates reimbursement for services using five designated billing codes (90844, 99492, 99493, 99494, G2214), which represent evidence-based integrated care for mental health and substance use disorders. Insurers may still deny coverage based on medical necessity only if they follow federal parity laws and utilization review rules. The law defines the "psychiatric collaborative care model" as an evidence-based service delivery method described in federal regulations (81 FR 80230). The bill does not alter existing coverage requirements beyond these specific codes.
Bill status in committee 1 of 4 stages cleared
Introduction
Jun 2025
Committee Review
Floor Vote
Governor
Introduced Jun 25, 2025 Last action Jun 26, 2025
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Full legislative history

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Total actions
4
Key actions
0
Committee
1
Jun 25, 2025
Committee
referred to Committee on Insurance
lower
Jun 25, 2025
Introduced
introduced by Representative Rep. Mike McFall
lower
1 primary · 7 co-sponsors

Sponsors