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MI SB0397

Bill

Status

Engrossed

7/1/2025

Primary Sponsor

Kevin Hertel

Click for details

Origin

Senate

103rd Legislature

AI Summary

  • Prohibits the Michigan Department of Health and Human Services from requiring prior authorization for prescription drugs treating opioid withdrawal symptom management or opioid use disorder under the Medicaid program

  • Eliminates dosage maximums for medications prescribed to treat opioid withdrawal symptom management or opioid use disorder

  • Maintains existing prior authorization exemptions for central nervous system drugs (anticonvulsants, antidepressants, antipsychotics), HIV/AIDS medications, cancer treatments, organ replacement therapy drugs, and epilepsy medications

  • Applies to pharmaceutical services provided through both fee-for-service Medicaid and contracts with health maintenance organizations or managed care organizations

Legislative Description

Human services: medical services; exemption of certain prescription drugs from the medical assistance prior authorization process; provide for. Amends sec. 109h of 1939 PA 280 (MCL 400.109h).

Human services: medical services

Last Action

Referred To Committee On Insurance

7/1/2025

Committee Referrals

Insurance7/1/2025
Health Policy6/11/2025

Full Bill Text

No bill text available