Bill > HB4496

This bill requires health insurance policies in Michigan that cover prescription contraceptives to provide a 12-month supply of those contraceptives at one time when dispensed at an in-network pharmacy, unless the patient or prescriber requests a smaller supply. The bill mandates that insurers cover related outpatient services necessary for prescribing, dispensing, or removing contraceptives, and ensures that this coverage applies even if the patient was not initially covered when first receiving the prescription. The bill allows for standard policy provisions like copayments and deductibles but prohibits insurers from imposing utilization controls that would limit contraceptive supply to less than 12 months, unless the FDA determines a 12-month supply is medically inappropriate. The legislation defines "prescription contraceptive" broadly to include various FDA-approved drugs and devices that prevent pregnancy, whether administered orally, transdermally, or intravaginally. Insurers are not required to provide a 12-month supply in the month before a plan year ends, and the bill will apply to health insurance policies delivered or renewed starting December 31, 2025, effectively giving insurers time to adjust their policies to comply with the new requirements.

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https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4496