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MI HB5204
MI HB5204Insurance: health insurers; prescription drug coverage for metastatic cancer; prohibit certain conditions. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406rr.
summary
Introduced
11/04/2025
11/04/2025
In Committee
11/04/2025
11/04/2025
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 3406rr.
AI Summary
This bill amends Michigan's insurance code to prevent health insurers from imposing certain restrictive conditions on prescription drug coverage for patients with advanced metastatic cancer. Specifically, the bill prohibits insurers from requiring patients to first fail on a different prescription drug or prove a history of unsuccessful treatment before covering a prescribed medication for advanced metastatic cancer or its associated conditions. The bill defines advanced metastatic cancer as cancer that has spread from its original site to other body parts or tissues, and associated conditions as symptoms or side effects related to the cancer or its treatment that could further harm the patient if left untreated. By removing these potential barriers to treatment, the bill aims to ensure that patients with advanced metastatic cancer can more quickly access the prescription drugs their healthcare providers recommend, potentially improving patient care and outcomes.
Committee Categories
Business and Industry
Sponsors (34)
Brenda Carter (D)*,
Joey Andrews (D),
Kelly Breen (D),
Julie Brixie (D),
Erin Byrnes (D),
Betsy Coffia (D),
Jennifer Conlin (D),
Emily Dievendorf (D),
Kimberly Edwards (D),
John Fitzgerald (D),
Kristian Grant (D),
Kara Hope (D),
Jason Hoskins (D),
Gina Johnsen (R),
Matt Koleszar (D),
Matt Longjohn (D),
Sharon MacDonell (D),
Jaz Martus (D),
Mike McFall (D),
Donavan McKinney (D),
Denise Mentzer (D),
Reggie Miller (D),
Tonya Myers Phillips (D),
Cynthia Neeley (D),
Amos O'Neal (D),
Veronica Paiz (D),
Laurie Pohutsky (D),
Natalie Price (D),
Carrie Rheingans (D),
Will Snyder (D),
Samantha Steckloff (D),
Regina Weiss (D),
Jimmie Wilson (D),
Stephanie Young (D),
Last Action
Bill Electronically Reproduced 11/04/2025 (on 11/05/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://legislature.mi.gov/Bills/Bill?ObjectName=2025-HB-5204 |
| BillText | https://legislature.mi.gov/documents/2025-2026/billintroduced/House/htm/2025-HIB-5204.htm |
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