Medicaid prenatal care coverage

Current understanding

Tracks Michigan Medicaid coverage requirements for prenatal and maternity services under the Social Welfare Act (1939 PA 280). As of the SB0415 chamber passage, legislation is pending to add a new sec. 109t requiring Medicaid to cover group prenatal care services alongside traditional individual prenatal visits.

Evidence log

• 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.: 2026 PA 37 enacted, adding sec. 109t to 1939 PA 280 (Social Welfare Act) requiring Michigan Medicaid to cover group prenatal care services — converting the previously-pending SB0415/HB4704 mandate into law. (novelty: 3)
• 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 (introduced) is the House companion to SB0415, adding sec. 109t to the Social Welfare Act (1939 PA 280) to require Medicaid coverage of group prenatal care services. (novelty: 3)
• 2026-06-25 — Insurance: health insurers; coverage for group prenatal care services; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ss.: HB4703 (passed chamber) is the private-insurance counterpart to SB0415, amending the Insurance Code to add sec. 3406ss requiring insurers to cover group prenatal care services — mirroring the Medicaid mandate on the commercial-coverage side. (novelty: 2)

Open questions

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