Human services: medical services; basic health program for certain low-income residents; establish. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding secs. 112l, 112m, 112n, 112o & 112p.

Michigan House Bill 6274 establishes a state basic health program to provide medical coverage for low-income residents who do not qualify for Medicaid or affordable employer-sponsored insurance. The bill targets individuals aged 65 and under with incomes between 133% and 200% of the federal poverty guidelines, as well as lawfully present noncitizens earning below 200% of that threshold. It creates a dedicated trust fund to finance the program and requires the state department to develop a program blueprint for federal certification within six months of forming a stakeholder advisory group. Key provisions include automatic enrollment for individuals transitioning from Medicaid, sliding-scale premiums based on income, and a requirement that no one earning below 133% of the poverty line pay any premiums or cost-sharing.