HB 4522 Summary

• Amends Michigan's Medicaid program (MCL 400.105d) to remove language requiring the state to terminate coverage if federal funding reductions are not offset by program savings.

• Eliminates the previous requirement that the department maintain calculations showing annual state savings exceed any reduced federal match, or coverage must end.

• Removes subsection (28) which previously established conditions under which the program would not apply if waivers were not obtained or if federal match fell below 100% without sufficient offsetting savings.

• Effectively allows the Healthy Michigan program to continue regardless of whether projected cost savings materialize or federal funding levels change.

• Makes permanent the coverage for individuals at 100-133% of federal poverty level who meet citizenship requirements, removing the contingency on achieving net financial savings.