Maddy summaryHB 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.
Rep. Matt Longjohn
Sponsored bills
Maddy summaryHB 5199 lowers the minimum age for insurance coverage of annual breast cancer mammograms in Michigan. It would require health insurers to cover annual mammograms for women starting at a lower age than the current 35-year threshold (while maintaining the existing requirement for annual coverage for women 40 and older). The bill preserves current mandates for insurers to cover breast cancer diagnostic, outpatient treatment, and rehabilitative services without less favorable terms than general physical illness coverage. This applies to all health insurance policies delivered, issued, or renewed in Michigan.
Maddy summaryHB 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.
Maddy summaryHB 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.
Maddy summaryHR 207 is a symbolic resolution declaring November 2025 as Children’s Grief Awareness Month in Michigan. It directly affects all Michiganders by encouraging community recognition of children experiencing loss, particularly during the holiday season when grief may intensify. The resolution highlights that one in twelve U.S. children lose a parent or sibling before high school graduation and emphasizes the need for support to address isolation and long-term emotional impacts. It urges Michiganders to support grieving children, families, and the organizations providing grief care, without creating new laws or funding.
Maddy summaryHB 5193 is a fiscal year 2026 appropriations bill that allocates state funds to various Michigan departments, agencies, and the judicial and legislative branches. It specifically includes funding for the state's food assistance program benefits, ensuring continued support for eligible residents. The bill creates a comprehensive funding plan covering multiple state operations for the 2025-2026 budget cycle. This procedural bill does not change program rules but provides the necessary financial resources for existing state services.
Maddy summaryHB 5191 modifies Michigan's worker's compensation law to strengthen the Uninsured Employer's Security Fund. The fund will pay benefits to workers injured by uninsured employers, effective from the bill's implementation date. It can later seek reimbursement from those employers for up to three times the benefits paid plus administrative costs, and impose fines of up to $10,000 for failing to provide required business records. This directly affects injured workers and uninsured employers who must repay the fund.
Maddy summaryHB 5183 amends Michigan's Worker's Disability Compensation Act (MCL 418.305) to clarify when an injured worker loses benefits due to their own misconduct. The bill states that an employee cannot receive benefits if their employer proves the injury resulted from the employee's "intentional, serious, and wilful misconduct." It defines "serious" misconduct as objectively egregious and harmful conduct that endangers the employee or others. This change directly affects injured workers whose employers claim they caused their own injury through severe workplace misconduct. The bill is currently in committee referral after its introduction on October 30, 2025.
Maddy summaryHB 5188 modifies Michigan's workers' compensation system by adding a $100 fee for parties involved in lump-sum payment agreements for personal injury claims. This fee, paid by employers or carriers (with the carrier covering it for multiple defendants), applies to agreements filed after 1983 and funds the worker's compensation administrative revolving fund. The fund covers specific agency costs like training, case management, and hearings. The bill clarifies that filing a redemption agreement isn't an admission of liability and requires carriers to notify employers 10 business days before hearings.
Maddy summaryHB 5184 shortens the deadline for employers and insurers to pay worker's compensation benefits from 30 days to 14 days after benefits become due. It also increases the daily penalty for late payments from $50 to $100 per day (capped at $25,000 total), applies to both wage benefits and medical/travel costs, and requires interest on delayed payments at 10% annually. This directly affects workers receiving compensation and employers/carriers responsible for timely payments. The bill aims to accelerate benefit delivery and strengthen penalties for noncompliance under Michigan's Worker's Disability Compensation Act.