Bill > SB0717

This bill amends the Social Welfare Act to require the Michigan Department of Health and Human Services to provide comprehensive coverage for menopause and perimenopause treatments under the medical assistance program (Medicaid). Specifically, the bill mandates that the department cover any medically necessary care or treatment for menopause and perimenopause symptoms, including hormone replacement therapy and FDA-approved treatments. The bill also prohibits requiring prior authorization for prescription medications used to treat menopause and perimenopause symptoms and eliminates step therapy or fail-first protocols for such treatments. Additionally, the bill provides clear definitions of menopause (permanent cessation of menstruation due to loss of ovarian follicular function) and perimenopause (the transitional period near the end of reproductive years). By removing bureaucratic barriers like prior authorization and step therapy requirements, the bill aims to improve access to medical care for individuals experiencing menopause and perimenopause symptoms, ensuring they can receive timely and appropriate treatment without unnecessary administrative hurdles.

Health and Social Services

https://legislature.mi.gov/Bills/Bill?ObjectName=2025-SB-0717