MI HB4968

Allows the Michigan Department of Health and Human Services to maintain the insurance provider assessment tax structure approved by the federal Centers for Medicare and Medicaid Services on December 20, 2024, unless the federal waiver is terminated

Requires DHHS to propose a revised tax structure compliant with federal broad-based and uniform requirements if the federal waiver is ended, with total revenue capped at the amount due for tax year April 1, 2024 through March 31, 2025

Establishes a uniform per member month tax rate across all tiers (Medicaid health plans, non-Medicaid health insurers, and specialty prepaid health plans) if a revised structure is needed

Requires the Department of Treasury to report annually to the state budget director and legislative committees on assessment revenue collected and administration costs within 120 days after May 15

Takes effect October 7, 2025, contingent on enactment of House Bills 4183, 4951, and 4961 of the 103rd Legislature