Michigan Health Insurance Exchange Act Summary

• Establishes a state-based health insurance exchange as a nonprofit corporation to be operational by January 1, 2026, operating a marketplace for qualified health plans through internet and telephone.

• Creates a 12-member board (including ex officio members from insurance and health departments) appointed by the governor with senate confirmation to govern the exchange, with conflict of interest and ethics requirements.

• Authorizes the exchange to charge assessments and user fees to carriers (capped at federally facilitated marketplace rate plus or minus 1%) to fund operations and support a state reinsurance program.

• Requires the exchange to certify health plans as qualified health plans, operate a Small Business Health Options program (SHOP), provide enrollment assistance including navigators, and coordinate with state Medicaid programs.

• Creates an exchange fund within state treasury to receive fees and other funding; requires annual financial audits and reports to the governor and legislature; establishes director oversight with appeal rights for aggrieved carriers.