Rep. Mike McFall

Maddy summaryHB 4739 removes age restrictions for Medicaid coverage of autism spectrum disorder (ASD) diagnosis and treatment in Michigan. It requires the state department to cover these services for all Medicaid-eligible individuals, including those aged 21 and older, within 180 days of the bill’s effective date. The bill mandates the department to seek federal approval to amend Michigan’s Medicaid plan to include these services for adults. This directly affects Medicaid recipients with ASD, ensuring continued access to diagnostic and treatment services regardless of age.

Maddy summaryHB 4740 requires health insurance plans sold in Michigan to cover diagnosis and treatment for autism spectrum disorders (ASD), directly affecting insured individuals with ASD and their families. It mandates coverage for behavioral health treatments like applied behavior analysis, with age-based annual limits: $50,000 for children under 6, $40,000 for ages 7-12, and $30,000 for ages 13-18. Insurers cannot deny coverage based on an ASD diagnosis, limit treatment visits, or apply stricter cost-sharing than for physical illnesses (though annual caps apply). The bill also allows insurers to request periodic diagnostic reviews (e.g., autism diagnostic observation schedule every 3 years) and annual development evaluations.

Maddy summaryHB 4390 expands Michigan's vehicle code to allow testing of oral fluid (such as saliva) for controlled substances, alongside blood, breath, or urine, when determining impairment. It directly affects commercial drivers who refuse chemical tests for controlled substances or alcohol while operating commercial vehicles. The bill adds a new definition of "other bodily fluid" to include oral fluid and creates a process for "preliminary oral fluid analysis" conducted by certified experts at the scene. This change updates existing suspension rules for commercial drivers who refuse testing, ensuring consistent enforcement for controlled substances alongside alcohol. The policy change specifically targets commercial motor vehicle operators who decline chemical tests for drugs or alcohol.

Maddy summaryHB 4391 expands Michigan's vehicle code to allow law enforcement to test for intoxication using other bodily fluids beyond blood or breath, such as urine or saliva. It directly affects drivers suspected of operating a vehicle while impaired, updating sections 625a, 625c, and 625g of the 1949 Michigan Vehicle Code (MCL 257.625a et seq.). The bill amends existing testing methods to include these additional fluids, providing more flexibility for officers during DUI investigations. The bill passed the Michigan House on July 17, 2025, with immediate effect.

Maddy summaryHB 4685 requires Michigan health insurers to cover specific mental health services delivered through the psychiatric collaborative care model, directly affecting insurers offering mental health benefits and patients seeking these services. The bill mandates reimbursement for services using five designated billing codes (90844, 99492, 99493, 99494, G2214), which represent evidence-based integrated care for mental health and substance use disorders. Insurers may still deny coverage based on medical necessity only if they follow federal parity laws and utilization review rules. The law defines the "psychiatric collaborative care model" as an evidence-based service delivery method described in federal regulations (81 FR 80230). The bill does not alter existing coverage requirements beyond these specific codes.

Maddy summaryHB 4689 creates a Cultural History Advisory Board within Michigan's Department of Education. The board, appointed by the superintendent of public instruction, must include 2 members from each of 8 cultural communities (Asian-American/Pacific Islander, Latino/Hispanic, Black, Middle Eastern/North African/Chaldean, Indigenous, Caribbean-American, Jewish-American, European-American), plus educators, school administrators, labor representatives, and higher education members. The board must recommend a K-12 curriculum tool kit and professional development on cultural history within two years, collaborating with cultural organizations and schools. This bill establishes the framework for developing educational resources but does not mandate specific curriculum changes.

Maddy summaryHB 4683 requires Michigan health insurers to cover medically necessary mental health and substance use disorder treatments (including inpatient, intermediate, and outpatient care) without restrictive prior authorization practices. It mandates that insurers use clinical review criteria aligned with generally accepted medical standards, rather than arbitrary rules, when evaluating these services. The bill also prohibits insurers from making mental health coverage terms less favorable than those for other medical treatments. This directly affects health insurers operating in Michigan and patients seeking mental health or substance use disorder care through their insurance plans.

Maddy summaryHB 4687 requires all Michigan public school districts and public school academies to incorporate one unit of age-appropriate Black history and one unit of Indigenous People history into their history curriculum starting in the 2027-2028 school year. The bill mandates coverage of historical contributions, discriminatory policies, and civil rights advancements by these communities, while requiring instructional materials to align with state standards and include input from cultural centers and experts. Schools must ensure this instruction is inclusive for all students, including those with disabilities and English language learners, and avoid any bias or discrimination. The law allows flexibility for schools to integrate these units into existing lesson plans rather than creating new courses.

Maddy summaryHB 4684 requires Michigan health insurers to create and submit a plan ensuring coverage for a broad range of pain management services, including nonopioid medications and nonmedication alternatives to opioids. The plan must be filed with the state insurance department for approval, which will review whether the plan adequately covers alternatives to opioids without unduly favoring opioid prescriptions. Insurers must also distribute educational materials to network providers and post the plan on their public website. This bill directly affects all health insurers operating in Michigan who issue, deliver, or renew health insurance policies in the state.

Maddy summaryHB 4688 requires Michigan public schools to provide cultural competency training for all educators and school staff starting in the 2027-2028 school year. The state must develop resources covering diversity, cultural identity, historic contributions of multiple cultural groups, and implicit bias (with expert input) by June 2027. Educators must complete this training as part of professional development, while non-educator staff must receive similar training but are exempt from history-focused content. This bill directly affects all public school districts, intermediate school districts, and public school academies in Michigan.