This bill requires Michigan health insurers to cover group prenatal care services for all policyholders. It defines these services as evidence-based, group-based prenatal visits in a family-centered setting that include health assessments, social support, education, and peer interaction. The law applies to all health insurance policies issued in Michigan, directly affecting pregnant individuals and their insurers by mandating coverage for this specific care model.
SB 399 amends Michigan's definition of "drug paraphernalia" in the Public Health Code to explicitly exclude certain testing products, like fentanyl test strips, from being classified as paraphernalia. The bill states that tools used to detect harmful chemicals in controlled substances - such as strips for testing fentanyl - do not count as drug paraphernalia under state law. This change directly affects individuals using these testing products for safety, including people who use or distribute them to prevent overdoses. The amendment aims to remove legal barriers for harm-reduction tools without altering other provisions about paraphernalia.
SB 397 removes the prior authorization requirement for specific prescription drugs under Michigan's medical assistance program (Medicaid). This directly affects Medicaid beneficiaries and healthcare providers by allowing immediate coverage for designated drugs without waiting for insurer approval. The bill amends state law to automatically cover these medications, eliminating a step that previously delayed access. It applies only to drugs explicitly named in the legislation, streamlining treatment for covered conditions.
SB 400 prohibits Michigan health insurers from requiring prior authorization for medications treating opioid use disorder or alcohol use disorder. This directly affects health insurance companies and patients seeking these specific treatments, removing a common administrative barrier. The bill amends Michigan’s Insurance Code to explicitly ban prior authorization requirements for these medications, using the existing definition of "prior authorization" from Section 2212e. The law ensures faster access to evidence-based treatment without insurer delays.
SB 402 requires health insurance plans to cover street medicine services, which provide medical care directly to homeless individuals in non-clinical settings like streets or shelters. The bill amends state law (MCL 400.109) to mandate this coverage, directly affecting homeless residents and healthcare providers offering street-based care. This policy change ensures that street medicine services can be billed through insurance, improving access to healthcare for vulnerable populations who might otherwise avoid traditional clinics. The requirement applies to all health insurers covered under the amended statute.
SB 401 requires doctors to co-prescribe naloxone - a medication that reverses opioid overdoses - whenever they prescribe opioid painkillers. This directly affects healthcare providers who prescribe opioids and their patients, mandating that naloxone be provided at the same time as the opioid prescription. The bill amends existing law to make this co-prescribing a standard requirement, not an option. It aims to reduce opioid overdose deaths by ensuring patients have immediate access to naloxone when prescribed opioids. The bill passed the legislature with strong support on July 1, 2025.
SB 404 requires public schools in Michigan to ensure at least one staff member at each school is trained to administer naloxone (an opioid overdose reversal medication) if the state health department provides it at no cost. Schools must develop policies requiring staff to notify parents when naloxone is used and call 9-1-1 for suspected opioid overdoses. The bill directly affects public school districts, intermediate districts, and public school academies by mandating training and response protocols for opioid-related emergencies. It specifies naloxone must be FDA-approved and defines "opioid-related overdose" to include symptoms like respiratory depression or unconsciousness needing medical help.
SB 405 amends Michigan's "Administration of Opioid Antagonists Act" by revising the definition of "governmental agency" to explicitly exclude school district boards, public school academies, and licensed healthcare providers (under Public Health Code Part 209). This change means these entities will no longer be subject to the act's requirements regarding opioid antagonist access and training. The bill directly affects school districts, public school academies, and licensed healthcare facilities by removing them from the scope of the law. The amendment clarifies which organizations must comply with the act's provisions, focusing on state and local government entities rather than schools or healthcare providers. This is a technical definitional update with no new requirements or funding changes.
SB 403 requires Michigan pharmacists to dispense certain medications used to treat addiction without unnecessary delay. This directly affects pharmacists who handle these medications and patients seeking treatment for substance use disorders. The bill amends Michigan's Pharmacy Act (MCL 333.1101 et seq.) by adding a new provision that eliminates administrative barriers causing delays in providing these critical medications. It establishes a clear requirement for prompt dispensing while maintaining pharmacists' existing professional responsibilities.
HB 4263 prohibits sellers from using automated programs to bypass purchase limits during online ticket sales for concerts, sports events, and other public entertainment events requiring admission fees. It bans circumventing security systems that enforce ticket limits, electronic queues, or fraud checks, targeting practices like bot-driven bulk purchases. The law directly affects ticket sellers (who must implement these security measures) and buyers attempting to use automated tools to bypass restrictions. This creates new requirements for online ticket sales to ensure fair access to event tickets.
HB 4367 creates Michigan's "Purple Star School Program" to support military-connected students in public schools. It requires schools to designate a military liaison, maintain an easily accessible website with relocation and support resources, implement transition programs for military-connected students, provide staff training, and offer at least one community initiative like monthly recognition or military partnerships. The program applies to all public schools serving military-connected pupils, defined as students whose families include active/reserve military members or those who lost a service member in action. Schools must meet all these requirements to earn the "Purple Star" designation by 2026. The law aims to improve support systems for military-connected students through concrete, school-level actions.
HB 4426 amends Michigan's Motor Carrier Safety Act (MCL 480.12d) to set a minimum age of 21 for drivers transporting hazardous materials requiring placards under federal rules. It maintains the existing 18-year-old minimum for most commercial driving but specifically raises the age requirement for hazardous materials transport. The bill does not change medical waiver or grandfathered driver provisions. This change directly affects commercial drivers operating in Michigan who transport hazardous materials requiring placards.
