MI HB4714

Expands Medicaid eligibility to individuals earning up to 133% of federal poverty guidelines under federal waiver authority, requiring enrollment in contracted health plans with health savings accounts.

Establishes cost-sharing requirements including co-pays and mandatory monthly contributions (2-5% of income) into health accounts, with reductions available for enrollees demonstrating healthy behaviors.

Requires individuals eligible for 48 cumulative months to choose between transitioning to private insurance marketplace coverage or remaining in Medicaid with increased cost-sharing up to 7% of income.

Terminates expanded Medicaid coverage if required federal waivers are not approved by December 31, 2015, or if federal matching funds drop below 100% without sufficient state savings to offset costs.

Appropriates $1,549,115,700 for Medicaid reform, including $1,395,876,600 for medical services and $288,646,900 for mental health services, with funding contingent on federal waiver approval.