A bill to amend 1939 PA 280, entitled “The social welfare act,” by amending sections 105d and 109f (MCL 400.105d and 400.109f), section 105d as amended by 2018 PA 208 and section 109f as amended by 2017 PA 224.
This bill aims to reform the Department of Health and Human Services' operations to enhance the efficiency and effectiveness of health services for eligible individuals. Key reforms include waivers for special health expense accounts, adjustments in co-pay averages, enforcement of cost-sharing requirements, enhanced access to primary care, and capping annual cost-sharing for certain income groups. It also seeks to incentivize healthy behaviors, expand telemedicine services, bolster fraud detection, and mandate hospitals to accept 115% of Medicare rates from uninsured individuals with incomes up to 250% of the federal poverty guidelines. The bill proposes transitioning fee-for-service enrollees into contracted health plans if cost-effective, developing performance bonus incentive plans, and implementing a pharmaceutical benefit favoring high-value, low-cost prescriptions.
Introduced
by
Referred to the Committee on Health Policy
