Legislative Analysis
Phone: (517) 373-8080
TELEMEDICINE REQUIREMENTS
http://www.house.mi.gov/hfa
House Bill 4580 (H-1) as reported from committee Analysis available at
Sponsor: Rep. Felicia Brabec http://www.legislature.mi.gov
Committee: Health Policy
Complete to 11-9-23
(Enacted as Public Act 53 of 2024)
SUMMARY:
House Bill 4580 would amend the Social Welfare Act to prohibit the Medicaid program or the
Healthy Michigan program from requiring a recipient to use telemedicine service in lieu of in-
person consultation or contact.
Telemedicine means the use of an electronic media to link patients with health care
professionals in different locations. To be considered telemedicine, the health care
professional must be able to examine the patient via a Health Insurance Portability and
Accountability Act (HIPAA)–compliant, secure interactive audio or video, or both,
telecommunications system, or through the use of store and forward online messaging.
MCL 400.105h
FISCAL IMPACT:
House Bill 4580 would likely have no fiscal impact on the Department of Health and Human
Services or the state’s Medicaid program. The bill would codify current telehealth policies that
were established 1 prior to the ending of the COVID-19 public health emergency.
POSITIONS:
Representatives of the following entities testified in support of the bill (10-5-23):
• Michigan State Medical Society
• Guidance Center
• CNS Healthcare
The following entities indicated support for the bill:
• Michigan Behavior Analysis Providers Association and Hope Network (10-5-23)
• Michigan Federation for Children and Families (10-5-23)
• Michigan Academy of Physician Assistants (10-5-23)
• Michigan Health and Hospital Association (10-26-23)
• Disability Rights Michigan (10-5-23)
• Michigan Council for Maternal and Child Health (10-5-23)
• Ascension (10-5-23)
• Michigan Academy of Family Physicians (10-5-23)
1
https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-
BPHASA/2023-Bulletins/Final-Bulletin-MMP-23-10-Telemedicine.pdf
House Fiscal Agency Page 1 of 2
 • Community Mental Health Association of Michigan (10-5-23)
• American Physical Therapy Association – Michigan Chapter (10-5-23)
• Michigan Behavioral Health and Wellness (10-5-23)
• Oakland Community Health Network (10-5-23)
• Michigan Society of Addiction Medicine (10-5-23)
• Michigan League for Public Policy (10-26-23)
Blue Cross Blue Shield of Michigan indicated opposition to the bill. (10-26-23)
Legislative Analyst: Rick Yuille
Fiscal Analyst: Kent Dell
■ This analysis was prepared by nonpartisan House Fiscal Agency staff for use by House members in their
deliberations and does not constitute an official statement of legislative intent.
House Fiscal Agency HB 4580 as reported Page 2 of 2


Statutes affected:
Substitute (H-1): 400.105
House Introduced Bill: 400.105
As Passed by the House: 400.105
As Passed by the Senate: 400.105
House Concurred Bill: 400.105
Public Act: 400.105
House Enrolled Bill: 400.105