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MI SB0551

MI SB0551
Human services: medical services; exemption of certain prescription drugs for the treatment or management of pain from the medical assistance prior authorization process; provide for. Amends sec. 109h of 1939 PA 280 (MCL 400.109h) & adds sec. 109v.


summary

Introduced
09/17/2025
In Committee
09/17/2025
Crossed Over
Passed
Dead

Introduced Session

103rd Legislature

Bill Summary

A bill to amend 1939 PA 280, entitled"The social welfare act,"by amending section 109h (MCL 400.109h), as amended by 2022 PA 19, and by adding section 109v.

AI Summary

This bill amends Michigan's social welfare act to modify the medical assistance program's prescription drug coverage and prior authorization process, specifically focusing on pain management medications. The bill requires the department of health and human services to provide coverage for non-opioid pain management drugs without imposing overly restrictive prior authorization requirements. Key provisions include mandating that the department add such pain management drugs to its preferred drug list within 90 days, ensuring these drugs are not disadvantaged compared to opioid pain medications, and prohibiting more restrictive utilization review measures for non-opioid pain drugs. The bill prevents the department from establishing prior authorization processes that would make it difficult for patients to access non-opioid pain management medications, while still allowing for standard drug review processes. The legislation aims to provide more flexible and accessible pain treatment options for medical assistance program participants by removing bureaucratic barriers to non-opioid pain medications and ensuring they receive fair treatment in the state's drug coverage policies.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

Referred To Committee On Health Policy (on 09/17/2025)

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