Healthcare

in committee · Michigan · House Nov 5, 2025

HB 5204: Insurance: health insurers; prescription drug coverage for metastatic cancer; prohibit certain conditions. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406rr.

HB 5204 requires health insurers in Michigan to cover prescription drugs for advanced metastatic cancer without first forcing patients to fail other treatments or prove prior drug failures. It directly affects patients diagnosed with advanced metastatic cancer (cancer that has spread beyond its original site) and their health insurance plans. The law prohibits insurers from imposing conditions like "fail first" requirements or demanding proof of previous drug ineffectiveness before approving coverage for these drugs or related symptoms. This applies to all health insurance policies covering prescription drugs for such cancer cases. The bill defines "advanced metastatic cancer" and "associated conditions" (symptoms or side effects worsening without treatment) to clarify coverage requirements.

Topics ✓ HealthcareSupports HealthcareProhibits 'fail first' requirements for metastatic cancer drug coverage, ensuring timely access without prior treatment failures, directly expanding patient access to essential care.95% confidence

Sub-Topics Prescription Drugs

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in committee · Michigan · House Nov 5, 2025

HB 5205: Insurance: health insurers; coverage for examinations and medications related to breast cancer; provide for. Amends sec. 3406d of 1956 PA 218 (MCL 500.3406d).

HB 5205 requires Michigan health insurers to cover specific breast cancer-related services without cost-sharing. It mandates coverage for diagnostic exams, screening mammograms (every 5 years for ages 35-39, annually for 40+), outpatient treatment, and rehabilitation services like reconstructive surgery. The law prohibits deductibles, copays, or dollar limits on these services, aligning coverage terms with general medical care. This directly affects Michigan health insurance policyholders, particularly women needing breast cancer screening or treatment.

Topics ✓ HealthcareSupports HealthcareMandates no-cost coverage for breast cancer services including screenings, treatment, and rehab, removing financial barriers and aligning with patient access protections.95% confidence

Sub-Topics Insurance

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in committee · Michigan · House Nov 5, 2025

HB 5200: Insurance: health benefits; pap smears; require to be covered in certain cases. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406nn.

HB 5200 requires health insurance plans in Michigan that cover gynecological care to include annual pap smear screenings for women aged 21 or older, with coverage mandated every three calendar years. This applies to all health insurance policies delivered, issued, or renewed in Michigan that provide gynecological coverage, directly affecting women 21+ and insurers offering such plans. The bill eliminates cost-sharing requirements (like copays, deductibles, or coinsurance) for these screenings, ensuring full coverage without out-of-pocket costs. It amends Michigan’s Insurance Code (MCL 500.3406nn) to standardize this preventive care requirement. The bill is currently pending in the House Committee on Insurance after introduction on November 4, 2025.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for pap smears without cost-sharing, expanding access to preventive care for women 21+ and protecting patient rights to affordable screenings.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates no-cost pap smears in health insurance, expanding worker health benefits under employment standards as part of coverage requirements for employer-sponsored plans.90% confidence

Sub-Topics Primary Care

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passed · Michigan · House Nov 5, 2025

HB 4399: Health occupations: advanced practice registered nurses; scope of practice of registered professional nurses who hold specialty certifications as nurse practitioners; modify. Amends secs. 17201, 17210, 17211a & 17212 of 1978 PA 368 (MCL 333.17201 et seq.) & adds sec. 17210a.

HB 4399 modifies Michigan law to expand the scope of practice for registered nurses certified as nurse practitioners. Specifically, it changes rules allowing these nurses to perform certain medical tasks - like diagnosing conditions and prescribing medications - without requiring direct physician oversight. The bill directly affects certified nurse practitioners in Michigan who currently face restrictions under existing law. It amends sections of the 1978 Public Health Code related to health occupations to clarify and broaden their authorized duties. The changes aim to adjust legal boundaries for these nurses' clinical responsibilities.

Topics ✓ HealthcareSupports HealthcareExpands nurse practitioner scope to diagnose/prescribe without physician oversight, increasing patient access to care under healthcare services.92% confidence

Sub-Topics Healthcare Workforce Medical Licensing Public Health

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passed both · Michigan · House Jan 14, 2026

HB 5053: Health: pharmaceuticals; administration of epinephrine; modify. Amends sec. 20919 of 1978 PA 368 (MCL 333.20919). TIE BAR WITH: HB 5054'25, HB 5049'25, HB 5050'25, HB 5051'25, HB 5052'25

HB 5053 requires medical control authorities to ensure all emergency medical services (EMS) agencies and personnel provide epinephrine or auto-injectors and are trained to recognize anaphylaxis, administer epinephrine, and properly dispose of devices. This directly affects EMS providers who deliver prehospital care across Michigan, mandating specific equipment availability and training protocols. The bill amends existing public health code requirements to strengthen emergency response capabilities for severe allergic reactions, with no changes to opioid antagonist or defibrillator requirements.

Topics ✓ HealthcareSupports HealthcareMandates EMS providers to stock epinephrine auto-injectors and train on anaphylaxis response, improving emergency care access for severe allergic reactions.95% confidence

Sub-Topics Public Health Substance Abuse

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passed both · Michigan · House Jan 14, 2026

HB 5049: Health: pharmaceuticals; administration of epinephrine; modify. Amends sec. 1179a of 1976 PA 451 (MCL 380.1179a). TIE BAR WITH: HB 5054'25, HB 5050'25, HB 5051'25, HB 5052'25, HB 5053'25

HB 5049 requires Michigan public schools to ensure trained staff can administer epinephrine auto-injectors during allergic emergencies. Schools with 10+ staff must have at least two trained employees (or one for smaller schools), and all schools must maintain at least two epinephrine auto-injectors. The bill mandates school policies for safe administration (by nurses or trained staff), reporting of all epinephrine uses to the state, and allows school districts to seek state reimbursement for unfunded costs. It directly affects all public K-12 schools in Michigan and students with severe allergies. The bill is tied to five companion bills (HB 5050-5054) that must also pass.

Topics ✓ EducationSupports EducationMandates epinephrine training and equipment in schools, enhancing student safety and supporting educational environment protection within K-12 operations.90% confidence ✓ HealthcareSupports HealthcareMandates school staff training and epinephrine availability for allergic emergencies, directly improving emergency health access and public health response in schools.95% confidence

Sub-Topics School Safety Student Health

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passed both · Michigan · House Jan 14, 2026

HB 5052: Health: other; administration of epinephrine; modify. Amends sec. 17a of 1973 PA 116 (MCL 722.127a). TIE BAR WITH: HB 5054'25, HB 5049'25, HB 5050'25, HB 5051'25, HB 5053'25

HB 5052 allows children with severe allergies to carry and use epinephrine auto-injectors (like EpiPens) at children's camps under specific conditions. It directly affects minors with anaphylaxis, their parents/guardians, and camp staff. The bill requires written approval from a child's physician and parent/guardian, a camp director's verification of these approvals, and a written emergency care plan developed by a physician. It also provides legal immunity for camps that follow these protocols when allowing or denying use of the medication.

Topics ✓ HealthcareSupports HealthcareEnables emergency epinephrine access for allergic children at camps via physician/guardian protocols, improving patient access to life-saving treatment.95% confidence

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in committee · Michigan · House Nov 12, 2025

HB 5226: Insurance: insurers; coverage for certain pediatric autoimmune neuropsychiatric disorders; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406pp.

HB 5226 requires health insurance policies sold or renewed in Michigan to cover treatment for pediatric autoimmune neuropsychiatric disorders linked to strep infections (PANS) and pediatric acute-onset neuropsychiatric syndrome (PANS), including intravenous immunoglobulin therapy. This applies to all health insurance policies delivered, issued, or renewed in Michigan or covering Michigan residents, starting 90 days after the law takes effect. The bill directly affects children diagnosed with these specific conditions by mandating insurance coverage for their treatment. It amends Michigan's insurance code to ensure these therapies are included in standard coverage without additional patient cost.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for pediatric neuropsychiatric disorders, expanding health benefits and improving patient access to required treatments.95% confidence

Sub-Topics Children's Health Insurance

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signed · Michigan · House Dec 31, 2025

HB 4726: Health facilities: county medical care facilities; maintenance of effort reimbursement; extend sunset. Amends sec. 109 of 1939 PA 280 (MCL 400.109).

HB 4726 extends the deadline for a reimbursement formula that helps counties offset costs when operating Medicaid-funded nursing homes. It requires counties to be reimbursed for 45% of the difference between their actual per-patient-day costs and a state-set cost limit (with rates capped at zero if costs are below the limit), while preventing annual reimbursement increases exceeding $1.00 per patient day. This policy directly affects county-owned nursing homes providing Medicaid long-term care, ensuring continued state support for their operations until December 31, 2030. The bill does not change eligibility for services or create new benefits - only extends the existing funding mechanism.

Topics ✓ HealthcareSupports HealthcareBill extends Medicaid reimbursement for county nursing homes, ensuring 45% cost coverage and preventing funding shortfalls, directly supporting healthcare funding for long-term care facilities.95% confidence

Sub-Topics Long-Term Care

in committee · Michigan · House Dec 10, 2025

HB 5203: Criminal procedure: sentencing guidelines; sentencing guidelines for releasing confidential information related to an abortion; provide for. Amends sec. 13k, ch. XVII of 1927 PA 175 (MCL 777.13k). TIE BAR WITH: HB 5201'25

HB 5203 amends Michigan's sentencing guidelines (MCL 777.13k) to establish specific penalties for disclosing private medical information related to abortions. It directly affects healthcare providers, clinics, or others who share confidential abortion-related details without authorization. The bill creates new sentencing parameters for such disclosures within the criminal code, requiring judges to consider these guidelines when determining penalties. The legislation is currently under review by the Health Policy Committee after its November 2025 introduction.

Topics ✗ Criminal JusticeOpposes Criminal JusticeCreates new criminal penalties for disclosing abortion-related medical info, expanding criminalization under sentencing guidelines per MCL 777.13k.95% confidence ✓ HealthcareSupports HealthcareBill protects patient confidentiality for abortion-related medical information, directly advancing healthcare privacy rights under patient protection indicators.95% confidence

Sub-Topics Sentencing Women's Health

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