Bill > SB0107

This bill requires health insurance providers in Michigan to cover certain medical services performed by pharmacists, starting January 1, 2026. Specifically, insurers must provide coverage for immunization agents listed on the Centers for Disease Control and Prevention (CDC) Immunization Schedules when administered by a pharmacist at an in-network pharmacy. The bill also mandates coverage for laboratory tests ordered by pharmacists and drugs dispensed by pharmacists at in-network pharmacies. While insurers must provide this coverage, they can still apply standard insurance policy provisions like utilization management, prior authorization, and cost-sharing elements such as deductibles, co-insurance, and co-pays. The bill amends the Michigan Insurance Code to expand the scope of services that pharmacists can provide and have covered by health insurance, potentially increasing patient access to medical services through pharmacies.

Health and Social Services

https://legislature.mi.gov/Bills/Bill?ObjectName=2025-SB-0107