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MI HB4814

MI HB4814
Insurance: health insurers; 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 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406zz.


summary

Introduced
08/26/2025
In Committee
08/26/2025
Crossed Over
Passed
Dead

Introduced Session

103rd Legislature

Bill Summary

A bill to amend 1956 PA 218, entitled"The insurance code of 1956,"(MCL 500.100 to 500.8302) by adding section 3406zz.

AI Summary

This bill requires health insurers in Michigan to provide coverage for medically necessary treatments related to menopause and perimenopause, including hormone replacement therapy (HRT) that is approved by the U.S. Food and Drug Administration (FDA). The bill prohibits insurers from requiring prior authorization, step therapy, or fail-first protocols for medications used to treat menopause and perimenopause symptoms. Specifically, the bill defines menopause as the permanent end of menstruation due to loss of ovarian function, and perimenopause as the transitional period near the end of reproductive years or at the onset of menopause. By removing barriers like prior authorization, the bill aims to make it easier for individuals experiencing menopausal symptoms to access appropriate medical treatments without additional administrative hurdles from their health insurance providers.

Committee Categories

Business and Industry

Sponsors (23)

Last Action

Bill Electronically Reproduced 08/26/2025 (on 08/27/2025)

bill text


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