Insurance: health insurers; coverage for step therapy; modify. Amends sec. 3406t of 1956 PA 218 (MCL 500.3406t).
Key claim: Michigan HB 5988 would modify health insurer coverage requirements for step therapy under MCL 500.3406t.
Abstract
(HB5988 · 103rd Legislature) Insurance: health insurers; coverage for step therapy; modify. Amends sec. 3406t of 1956 PA 218 (MCL 500.3406t). Sponsor: Rep. Mike McFall (D) + 18 co-sponsors In committee: H Insurance Latest action (2026-05-20): Bill Electronically Reproduced 05/19/2026
Why this matters
Step therapy protocols determine whether Michigan patients must try insurer-preferred drugs before accessing prescriber-chosen therapies, directly affecting access to care under commercial health coverage. Amendments to MCL 500.3406t can shift the balance between insurer cost-control tools and patient/provider override rights, changing who effectively gains or loses timely access to medications.