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MI SB0718

MI SB0718
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
12/02/2025
In Committee
12/02/2025
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 insurance providers in Michigan to cover medically necessary care and treatment for menopause and perimenopause symptoms, including hormone replacement therapy (HRT) that has been approved by the FDA. The bill prohibits insurers from requiring prior authorization, step therapy, or implementing fail-first protocols for medications used to treat menopause and perimenopause symptoms. 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 a person's 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 necessary medical treatments without additional administrative hurdles from their health insurance providers.

Committee Categories

Health and Social Services

Sponsors (3)

Last Action

Referred To Committee On Health Policy (on 12/02/2025)

bill text


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