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MI SB0914

MI SB0914
Insurance: health benefits; application of amount paid by the insured or other certain parties when calculating the insured’s co-pay for a prescription drug; require under certain conditions. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406nn.


summary

Introduced
04/22/2026
In Committee
04/22/2026
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 3406nn.

AI Summary

This bill requires health insurance policies in Michigan, including those that are high-deductible health plans (HDHPs), to count any money paid by the insured person or on their behalf towards their out-of-pocket maximums or other cost-sharing requirements, which are defined as copayments, coinsurance, deductibles, or annual limits on these costs for specific healthcare services like prescription drugs. For HDHPs, these payments will be applied after the minimum deductible is met, unless the payment is for preventive care, in which case it will be applied regardless of the deductible status, to ensure that the insured's health savings account, a tax-advantaged savings account for medical expenses, remains eligible under federal law. This provision, which excludes certain prescription drugs with AB-rated generic equivalents unless specific authorization or protocols are followed, will take effect for policies issued or renewed after December 31, 2025, and will be superseded by any conflicting federal laws.

Committee Categories

Budget and Finance

Sponsors (5)

Last Action

Senate Finance, Insurance, and Consumer Protection (12:30:00 5/13/2026 Room 1200, Binsfeld Office Building 201 Townsend St, Lansing, M) (on 05/13/2026)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Regulation of Drug Industry and Pharmacies

bill text


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bill summary

Document Type Source Location Created
State Bill Page https://legislature.mi.gov/Bills/Bill?ObjectName=2026-SB-0914 04/22/2026
Fiscal Note/Analysis - Senate: SUMMARY OF INTRODUCED BILL IN COMMITTEE https://legislature.mi.gov/documents/2025-2026/billanalysis/Senate/pdf/2026-SFA-0914-G.pdf 05/12/2026
BillText https://legislature.mi.gov/documents/2025-2026/billintroduced/Senate/htm/2026-SIB-0914.htm 04/22/2026
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