HB 6586 Summary

• Establishes the "MI Health Benefits Program Act" to consolidate health benefits for public employees through a uniform statewide program administered by a newly created MI Health Benefits Board.

• Creates the MI Health Benefits Board (13 members) to oversee program design, approve health benefit plans, and monitor financial stability; establishes an Office of the State Employer to implement and administer the program.

• Requires public employers with 5+ employees to participate in the program unless they meet specific exceptions (existing contracts, lower cost alternatives, or opt-out approval), with participation mandatory for new or renewed health benefit contracts after the 240-day implementation period.

• Establishes the MI Prescription Drug Plan Committee (10 members) to develop a consolidated prescription drug formulary and preferred drug list using evidence-based review to control costs while ensuring appropriate medication access.

• Creates the MI Health Benefits Fund to hold employer contributions in trust; participating employers pay health benefit plan costs plus a surcharge (up to 1-2% of premiums) to support state administration of the program.