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MI SB0717

Bill

Status

Introduced

12/2/2025

Primary Sponsor

Sylvia Santana

Click for details

Origin

Senate

103rd Legislature

AI Summary

  • 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

  • Prohibits prior authorization requirements for prescription medications used to treat menopause and perimenopause symptoms under the medical assistance program

  • Bans step therapy or "fail-first" policies for hormone replacement therapy prescribed to treat menopause and perimenopause symptoms

  • 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

  • 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

Committee Referrals

Health Policy12/2/2025

Full Bill Text

No bill text available