HB 6112 Summary

• Establishes the MIHealth marketplace as a nonprofit corporation to serve as a nonexclusive health insurance clearinghouse for qualified health plans in Michigan, effective by January 1, 2023.

• Creates a 7-member MIHealth marketplace board appointed by the governor (5 members with Senate advice/consent) and legislative leaders (1 member each), with the director of insurance and financial services serving as nonvoting ex officio member.

• Requires the marketplace to operate an individual and small business health options program (SHOP) for qualified employers and federally recognized Indian tribes, including providing enrollment periods, navigator grants, and enrollment verification services.

• Authorizes the marketplace to charge assessments or user fees to participating health carriers to fund operations, subject to director approval and justification submitted to legislature.

• Requires the director of insurance and financial services to certify health benefit plans as qualified health plans based on compliance with federal and state law, with prohibitions against excluding plans based on fee-for-service structure or imposing premium price controls.