Human services: medical services; coverage for prescribed pediatric extended care; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109u. TIE BAR WITH: HB 5252'25
Impact
The introduction of HB 5251 is anticipated to significantly benefit families with children who have complex medical needs. By mandating coverage for pediatric extended care, the bill aims to alleviate financial burdens on families who may struggle to afford such specialized care out-of-pocket. This provision aligns with broader objectives of enhancing access to healthcare and establishing equitable health resources for children across Michigan. The effective implementation of this bill could potentially lead to improved health outcomes for young patients requiring intensive and ongoing medical services.
Summary
House Bill 5251 seeks to amend Michigan's social welfare act by expanding coverage under the medical assistance program specifically to include prescribed pediatric extended care (PPEC). This initiative aims to ensure that children requiring specialized medical attention can receive the necessary support through an established framework of state-sponsored health benefits. The bill outlines the necessary amendments to be made under section 109u of the 1939 PA 280, which addresses comprehensive support for health services in the state.
Contention
While the bill receives general support for its intent to broaden healthcare access, there might be points of contention regarding funding mechanisms and potential impacts on existing state budgets. Some legislators and stakeholders might express concerns about the financial implications of adding another layer of coverage in state healthcare systems. Additionally, the bill is tied to the enactment of other legislative measures which could lead to further debate on its validity and effectiveness if those measures are not approved.
Same As
Health facilities: licensing; licensing of prescribed pediatric extended care facilities; provide for. Amends secs. 20106, 20109, 20115 & 20161 of 1978 PA 368 (MCL 333.20106 et seq.) & adds pt. 219A.
Human services: medical services; requirement to prescribe generic medications; provide for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109z.
Human services: medical services; coverage for diagnosis of autism spectrum disorders and treatment of autism spectrum disorders; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109u.
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: SB 0928'26
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.
Human services: medical services; compliance with the prescription drug cost and affordability review act; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109o. TIE BAR WITH: HB 4544'25
Human services: medical services; coverage for the prophylaxis, diagnosis, and treatment of certain pediatric autoimmune neuropsychiatric disorders; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109v.
Human services: medical services; coverage policies for speech-language pathologists; modify. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109z.