Bill > HB4815

This bill amends Michigan's social welfare act to require the state's medical assistance program to provide comprehensive coverage for menopause and perimenopause treatment without prior authorization or step therapy restrictions. Specifically, the bill mandates that the department provide coverage for any medically necessary care or treatment related to menopause and perimenopause, including hormone replacement therapy and FDA-approved treatments. The legislation adds a new section defining menopause as the permanent cessation of menstruation due to loss of ovarian follicular function, and perimenopause as the transitional period near the end of reproductive years. The bill also prohibits the department from implementing step therapy or fail-first policies for medications used to treat menopause and perimenopause symptoms, and explicitly includes these treatments in the list of prescription drugs exempt from prior authorization requirements. This change aims to improve access to healthcare for individuals experiencing menopausal symptoms by removing bureaucratic barriers to obtaining necessary medical treatments and medications.

Business and Industry

https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-4815