Healthcare

in committee · Michigan · House Dec 9, 2025

HB 5303: Human services: medical services; Medicaid managed care contract with pharmacy benefit manager; modify. Amends sec. 105i of 1939 PA 280 (MCL 400.105i).

HB 5303 modifies Michigan's Medicaid managed care contracts to ensure fair reimbursement for small pharmacies (with 7 or fewer retail outlets). It requires pharmacy benefit managers to use specific payment methods - such as the lesser of national average drug costs plus a professional fee or a pharmacy's usual charge - and prohibits them from taking part of that fee. The bill also mandates transparent pricing (disclosing administrative fees as a percentage) and bans new or excessive fee increases beyond inflation. These changes directly affect Medicaid managed care organizations and small pharmacies serving Michigan Medicaid patients.

Topics ✓ HealthcareSupports HealthcareEnsures fair reimbursement for small pharmacies in Medicaid, prevents fee abuse, mandates transparent pricing, and protects access to medications - directly advancing patient access and pharmacy participation in healthcare delivery.95% confidence

Sub-Topics Medicaid Prescription Drugs

Track

in committee · Michigan · House Dec 11, 2025

HR 226: A resolution to urge the United States Department of Education to reject the recommended definition of “professional degree” and instead adopt a more accurate and consistent definition.

This resolution urges the U.S. Department of Education to reject a proposed definition of "professional degree" that would exclude many health care education programs from federal student loan eligibility. It specifically targets programs like physical therapy, occupational therapy, nursing, social work, and physician assistant studies - classified under CIP Code 51 - which would lose access to loans under the current proposal. The bill requests the Department instead adopt a definition based on required practice credentials, not program length or historical classification, to maintain consistent eligibility. This change aims to prevent worsening health care workforce shortages, particularly in rural and underserved communities.

Topics ✓ EducationSupports EducationPrevents defunding of health care education programs by preserving federal student loan eligibility for nursing, physical therapy, and similar fields under CIP Code 51.95% confidence ✓ HealthcareSupports HealthcareBill prevents defunding of healthcare education programs (nursing, PT, etc.) by ensuring federal student loan eligibility, directly supporting healthcare workforce development.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentPreserves federal student loan access for healthcare education programs (nursing, physical therapy), enabling workforce development in critical labor sectors affected by proposed definition changes.85% confidence

Sub-Topics Student Financial Aid Healthcare Workforce

Track

in committee · Michigan · House Dec 11, 2025

HB 5354: Health: pharmaceuticals; authority of certain physicians issuing standing orders; provide for. Amends secs. 9204 & 17744e of 1978 PA 368 (MCL 333.9204 & 333.17744e).

HB 5354 amends Michigan's Public Health Code to allow pharmacists and community-based organizations to dispense or administer opioid antagonists (like naloxone) under standing orders issued by the chief medical executive during public health emergencies or when prescription requirements conflict with public health needs. It specifies conditions for issuing these orders - such as protecting public health during emergencies or ensuring access without individual prescriptions - and requires detailed documentation in each standing order. The bill also provides liability protection for pharmacists, community organizations, and health department staff acting under these orders, unless the action involves willful misconduct or gross negligence. Standing orders expire after 1 year (for non-emergency uses) or 6 months (for emergencies), with extensions requiring public justification on the state health department website.

Topics ✓ HealthcareSupports HealthcareBill expands access to naloxone during public health emergencies via standing orders, improving emergency response to opioid overdoses without individual prescriptions.90% confidence

Sub-Topics Public Health Substance Abuse

Track

in committee · Michigan · House Dec 31, 2025

HB 5431: School aid: supplemental; supplemental appropriations in the school aid act; provide for. Amends secs. 11, 11s, 33, 201 & 236 of 1979 PA 94 (MCL 388.1611 et seq.) & adds secs. 27g, 97h, 201j, 201k & 236t.

HB 5431 allocates supplemental funding for Michigan public schools, primarily targeting districts affected by drinking water emergencies. It provides $10 million from the state school aid fund and $4.8 million from the general fund (2025-2026) for districts with at least 4,500 students (or 2,600+ post-2016) in cities with declared water emergencies, to hire staff like nurses and mental health workers and provide related services. The bill also allocates $12.5 million for educator talent programs through intermediate districts. All funds require reporting on service usage and must be expended by 2030.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $14.8M (state school aid + general fund) for school staff/services, increasing public education funding.95% confidence ✓ EducationSupports EducationAllocates $14.8M (state/general funds) for school staff hiring and mental health services in districts with water emergencies, directly supporting student well-being and educational access.95% confidence ✓ HealthcareSupports HealthcareAllocates $4.8M general fund for mental health workers/nurses in schools with water emergencies, directly funding healthcare services per bill summary.95% confidence

Sub-Topics State Budget School Funding Student Health Teachers Mental Health

Track

in committee · Michigan · House Dec 31, 2025

HB 5446: Health occupations: health professionals; licensure of naturopathic doctors; provide for. Amends secs. 16265, 17708 & 18001 of 1978 PA 368 (MCL 333.16265 et seq.) & adds sec. 16348a & pt. 186.

HB 5446 modifies Michigan's Public Health Code to clarify how naturopathic doctors may use professional titles and expand their practice authority. It requires naturopathic doctors to specify "of naturopathic medicine" when using "doctor" titles (e.g., "Dr. Jane Smith, of naturopathic medicine"). The bill also adds a provision requiring the state to set annual fees for naturopathic licensure to cover administrative costs. Additionally, it explicitly includes "licensed doctor of naturopathic medicine" in the definition of "prescriber," allowing them to prescribe medications under the same framework as other licensed health professionals. These changes directly affect naturopathic doctors seeking licensure or practicing in Michigan.

Topics ✓ HealthcareSupports HealthcareExpands naturopathic doctors' practice authority and clarifies title usage, improving access to alternative healthcare services within Michigan's public health framework.95% confidence

Sub-Topics Medical Licensing Public Health

Track

in committee · Michigan · Senate Dec 2, 2025

SB 718: Insurance: health insurers; 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 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406zz.

This bill requires Michigan health insurers to cover medically necessary treatments for menopause and perimenopause symptoms, including FDA-approved hormone therapy. It specifically prohibits insurers from demanding prior authorization, step therapy, or "fail-first" protocols for hormone therapy prescriptions related to these conditions. The law applies directly to health insurance policies sold in Michigan and affects patients experiencing menopause or perimenopause symptoms who seek treatment. Key provisions ensure coverage for treatments without additional administrative barriers typically imposed by insurers. The bill defines menopause as permanent cessation of menstruation and perimenopause as the transitional phase before menopause.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage for menopause/perimenopause treatments without prior authorization, improving patient access and removing barriers to care for specified health conditions.95% confidence

Sub-Topics Insurance

Track

in committee · Michigan · Senate Dec 2, 2025

SB 717: 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.

SB 717 requires Michigan's Medicaid program to cover medically necessary treatments for menopause and perimenopause symptoms, including hormone replacement therapy and FDA-approved treatments, without requiring prior authorization. The bill prohibits step therapy or "fail-first" protocols for these treatments, meaning patients won't be forced to try other medications first. This applies to all Medicaid beneficiaries in Michigan seeking care for these conditions and directly affects how the state's health department administers coverage under the medical assistance program.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for menopause/perimenopause treatments, eliminates prior authorization barriers, and prohibits step therapy, improving patient access to necessary care.95% confidence

Sub-Topics Medicaid Women's Health

Track

in committee · Michigan · House Dec 11, 2025

HB 5350: Health: local health departments; report regarding immunization levels and exemptions; require local health officer to submit to local governing entity. Amends sec. 9209 of 1978 PA 368 (MCL 333.9209).

HB 5350 requires local health departments to annually report school immunization rates and exemption data to local governing bodies (like city councils). Starting June 1, 2028, health officers must submit detailed, de-identified reports showing overall vaccination levels, medical and non-medical exemption percentages, and list schools with over 5% exemptions along with plans to reduce them. This directly affects schools, health departments, and local governments by increasing transparency around vaccination coverage. The bill amends existing law to strengthen accountability for immunization compliance without changing exemption rules themselves.

Topics ✓ HealthcareSupports HealthcareRequires immunization reporting to improve public health transparency, address low vaccination rates, and strengthen community health initiatives through data-driven interventions.90% confidence

Sub-Topics Children's Health Public Health

Track

in committee · Michigan · House Dec 11, 2025

HB 5351: Health: immunizations; certain information used in promulgating rules on immunizations; provide for. Amends sec. 9227 of 1978 PA 368 (MCL 333.9227). TIE BAR WITH: HB 5353'25

HB 5351 amends Michigan's Public Health Code to update how the state health department creates rules for childhood immunizations. It requires the department to consider recommendations from major health organizations like the CDC, American Academy of Pediatrics, and others when setting immunization rules, including minimum ages, doses, and school requirements. If recommendations from these groups conflict, the department must consult Michigan's advisory committee on immunizations. The bill also mandates that immunization requirements stay at least as strict as those in effect on January 1, 2025, if federal guidelines change. This bill directly affects the health department's rulemaking process and impacts schools, healthcare providers, and families managing childhood vaccination schedules.

Topics ✓ HealthcareSupports HealthcareRequires health department to base immunization rules on CDC/AAP guidelines, strengthening public health program standards for childhood vaccinations.95% confidence

Sub-Topics Children's Health Public Health

Track

in committee · Michigan · House Mar 13, 2025

HB 4228: Education: safety; certain school safety and security training; require the department of state police and the office of school safety within the department of state police to provide to certain school personnel. Amends 1976 PA 451 (MCL 380.1 - 380.1852) by adding sec. 1308f.

HB 4228 requires Michigan's Department of State Police and its Office of School Safety to provide annual training to all school staff, school resource officers, and school safety personnel in public and nonpublic schools. The training covers key safety topics including threat assessment protocols (based on the Secret Service's guidelines), de-escalation techniques, emergency response procedures, cultural competence, mental health services, and legal authority in school settings. It also mandates specific legal training from the Attorney General's office on officers' authority and security personnel limitations. The bill directly affects every school employee in Michigan by establishing standardized safety training requirements.

Topics ✓ EducationSupports EducationMandates annual safety training for school staff, covering threat assessment, de-escalation, and mental health - directly strengthening school safety protocols within education policy.95% confidence ✓ HealthcareSupports HealthcareMandates mental health services training for school personnel, advancing mental health integration into school safety protocols per bill's required topics.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates annual safety training for school staff including threat assessment and de-escalation, directly improving workplace safety standards for employees.95% confidence

Sub-Topics School Safety Testing & Assessment

Track