HB 4815 Michigan House · 2025-2026 Regular Session

Human services: medical services; 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 sec. 109h of 1939 PA 280 (MCL 400.109h) & adds sec. 109t.

HB 4815 requires Michigan Medicaid to cover medically necessary treatments for menopause and perimenopause symptoms - including hormone replacement therapy and FDA-approved medications - without prior authorization. It prohibits Medicaid from requiring step therapy (e.g., trying other treatments first) for these medications. The bill directly affects Medicaid patients experiencing these symptoms by removing administrative barriers to care. Key provisions amend existing law to exempt these treatments from prior authorization rules and mandate coverage under the medical assistance program.
Bill status in committee 1 of 4 stages cleared
Introduction
Aug 2025
Committee Review
Floor Vote
Governor
Introduced Aug 26, 2025 Last action Aug 27, 2025
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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
Aug 26, 2025
Committee
referred to Committee on Insurance
lower
Aug 26, 2025
Introduced
introduced by Representative Rep. Morgan Foreman
lower
1 primary · 21 co-sponsors

Sponsors