Medicaid

Current understanding

Michigan Medicaid eligibility, coverage, and funding changes.

Evidence log

• 2026-08-27 — Human services: medical services; primary care spending target; establish. Amends sec. 105d of 1939 PA 280 (MCL 400.105d) & adds sec. 105k.: A House bill would amend sec. 105d of 1939 PA 280 and add sec. 105k to require Michigan Medicaid to establish a primary care spending target as a share of medical-services spending; introduced. (novelty: 2)
• 2026-05-13 — Human services: medical services; requirement to prescribe generic medications; provide for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109z.: HB4839 would amend 1939 PA 280 by adding sec. 109z to require prescribing of generic medications under Medicaid’s medical services; passed one chamber. (novelty: 2)
• 2026-06-02 — Human services: medical services; certified community behavioral health clinics; provide certification and funding for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109v. TIE BAR WITH: HB 6031’26: HB 6032 would amend 1939 PA 280 by adding sec. 109v to establish certification and funding for Certified Community Behavioral Health Clinics under the Social Welfare Act (tie-barred to HB 6031); introduced. (novelty: 3)
• 2026-07-29 — Human services: medical services; coverage for group prenatal care services; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109t.: Public Act 37 of 2026 amends 1939 PA 280 by adding sec. 109t, mandating Medicaid coverage of group prenatal care services (enacted). (novelty: 3)
• 2026-06-03 — Human services: medical services; reporting of error rate regarding Medicaid; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 106c.: HB5813 would amend 1939 PA 280 by adding sec. 106c to require reporting of the Medicaid payment error rate; passed one chamber. (novelty: 2) (novelty: 2)
• 2025-12-03 — Human services: medical services; medical assistance coverage for donor human milk; require under certain conditions. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109y.: SB0725 would amend the Social Welfare Act (1939 PA 280) by adding sec. 109y to require Medicaid coverage of donor human milk under certain conditions; introduced. (novelty: 3)
• 2026-06-17 — Human services: medical services; retroactive coverage for medical assistance under the medical assistance program; modify. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 106c.: HB5814 would amend 1939 PA 280 by adding sec. 106c to modify retroactive coverage rules for medical assistance under Michigan Medicaid; passed one chamber. (novelty: 2)
• 2026-05-12 — Human services: medical services; coverage for behavioral health transportation; provide for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109y. TIE BAR WITH: HB 5943’26: HB 5944 would amend the Social Welfare Act (1939 PA 280) by adding sec. 109y to require Medicaid coverage of behavioral health transportation services, tie-barred to HB 5943 which licenses such providers; introduced. (novelty: 2)
• 2026-06-08 — Department of Health and Human Services v Nrk Rx, Inc: Michigan Supreme Court in DHHS v Nrk Rx, Inc clarified that DHHS civil suits alleging Medicaid overpayment together with tort claims are governed by the mandatory tort venue statute (MCL 600.1641(2)), with venue proper in Ingham County as the situs of the original injury. (novelty: 2)
• 2025-06-26 — Human services: medical services; coverage for group prenatal care services; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109t.: HB4704 would amend the Social Welfare Act (adding sec. 109t) to require Medicaid coverage of group prenatal care services; introduced (House companion to SB0415). (novelty: 3)
• 2026-06-25 — Human services: medical services; regulations regarding managed care plans; provide for. Amends secs. 105d, 109, 111i & 111j of 1939 PA 280 (MCL 400.105d et seq.) & adds secs. 111o, 111p & 111q.: HB6133 would amend secs. 105d, 109, 111i, and 111j of 1939 PA 280 and add secs. 111o, 111p, and 111q to expand regulations governing Medicaid managed care plans; introduced. (novelty: 2) (novelty: 2)
• 2026-07-01 — Health facilities: nursing homes; personal needs allowance for nursing home residents; increase. Amends sec. 106 of 1939 PA 280 (MCL 400.106) & adds sec. 106d.: HB6153 would amend sec. 106 of 1939 PA 280 (MCL 400.106) and add sec. 106d to increase the personal needs allowance retained by Medicaid nursing home residents; introduced. (novelty: 2) (novelty: 2)
• 2026-07-03 — Human services: medical services; definition of kickbacks or bribes; modify. Amends sec. 4 of 1977 PA 72 (MCL 400.604).: SB1052 would amend sec. 4 of 1977 PA 72 (MCL 400.604) to modify the definition of kickbacks or bribes under the Medicaid anti-fraud statute; passed one chamber. (novelty: 2) (novelty: 2)
• 2026-07-03 — Human services: medical services; coverage for group prenatal care services; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109t.: SB0415 would amend the Social Welfare Act (adding sec. 109t) to require Medicaid coverage of group prenatal care services; passed one chamber. (novelty: 2)

Open questions

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