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MI SB0717
Bill
Status
12/2/2025
Primary Sponsor
Sylvia Santana
Click for details
AI Summary
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Requires Michigan's Medicaid program to cover all medically necessary care and treatment for menopause and perimenopause, including hormone replacement therapy and FDA-approved treatments
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Prohibits prior authorization requirements for prescription medications used to treat menopause and perimenopause symptoms under the medical assistance program
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Bans step therapy or "fail-first" policies for hormone replacement therapy prescribed to treat menopause and perimenopause symptoms
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Adds menopause and perimenopause medications to the existing list of exempt drug categories that cannot require prior authorization, alongside drugs for cancer, HIV/AIDS, epilepsy, mental health conditions, and organ replacement therapy
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Applies coverage requirements to both fee-for-service Medicaid and contracts with health maintenance organizations and managed care organizations
Legislative Description
Human services: medical services; coverage for treatment of menopause and perimenopause symptoms and waiver of prior authorization for prescription drugs or treatments for menopause and perimenopause symptoms; require. Amends sec. 109h of 1939 PA 280 (MCL 400.109h) & adds sec. 109t.
Human services: medical services
Last Action
Referred To Committee On Health Policy
12/2/2025