Michigan 2025-2026 Regular Session

Michigan Senate Bill SB0449

Introduced
6/26/25  
Refer
6/26/25  
Report Pass
11/13/25  
Refer
11/13/25  
Report Pass
3/10/26  
Engrossed
3/11/26  

Caption

Health facilities: hospitals; hospital financial assistance act; enact. Creates new act.

Impact

If enacted, SB0449 would necessitate that hospitals publish details about their financial assistance programs clearly and accessibly to all patients. Hospitals would be required to offer assistance to uninsured patients earning up to 350% of the federal poverty line, along with potential discounts based on a sliding scale for unpaid bills that exceed a certain portion of annual income. The bill would also impose civil fines of up to $10,000 on hospitals that fail to comply, ensuring robust enforcement of these programs and fostering accountability in healthcare settings. The establishment of a medical debt relief fund further reinforces state efforts to alleviate individual financial burdens due to healthcare costs.

Summary

Senate Bill 0449, officially known as the Hospital Financial Assistance Act, mandates hospitals to create and enforce financial assistance programs aimed at supporting certain patients. The legislation forges a clear structure that encourages hospitals to assess their patients' financial needs based on federal poverty guidelines, with the goal of ensuring that financial barriers do not hinder access to medical care. This bill is a significant legislative move towards addressing healthcare affordability and promoting equitable access to necessary services.

Sentiment

The sentiment surrounding SB0449 is generally supportive, particularly among advocates for healthcare reform and accessibility. Proponents argue that the bill addresses critical gaps in healthcare access for low-income and uninsured patients, thus improving health outcomes and reducing the incidence of medical debt. However, there are underlying concerns regarding the implementation burden it may impose on hospitals and potential variations in how different institutions may interpret the income eligibility criteria. While many see this legislation as a step forward, there remains dialogue about its feasibility and effectiveness in various hospital settings.

Contention

Notable debates surrounding SB0449 focus on the balance between providing necessary patient support and the operational impact on hospitals, especially those struggling financially. Some stakeholders highlight that while the intention is to support patients, the administrative burden of collecting income information and managing the financial assistance process may present challenges. Additionally, there are questions about how effectively hospitals can communicate their financial assistance offerings to patients, especially in underserved communities where access to information may be limited.

Companion Bills

No companion bills found.

Previously Filed As

MI SB0450

Health facilities: hospitals; certain hospital financial assistance policies; make subject to the hospital financial assistance act. Amends sec. 17 of 1913 PA 350 (MCL 331.167). TIE BAR WITH: SB 0449'25

MI LD1937

An Act to Require Hospitals and Hospital-affiliated Providers to Provide Financial Assistance Programs for Medical Care

MI SB981

Hospitals - Financial Assistance and Collection of Debts - Policies

MI HB268

Hospitals - Financial Assistance and Collection of Debts - Policies

MI SB01192

An Act Concerning Hospital Financial Assistance.

MI SB0095

Health facilities: hospitals; collection of debts; prohibit if hospital is not in compliance with price transparency laws. Creates new act. TIE BAR WITH: SB 0094'25

MI HB05621

An Act Concerning Hospital Financial Assistance.

MI AB448

California Health Facilities Financing Authority Act: nondesignated hospitals: loan repayment.

MI S842

To address medical debt through hospital financial assistance reform

MI HB2736

Requiring hospitals to screen all patients for eligibility for such hospital's financial assistance program or charity care policy.

Similar Bills

No similar bills found.