Legislative Analysis
Phone: (517) 373-8080
MEDICAID COVERAGE FOR PRENATAL CARE SERVICES
http://www.house.mi.gov/hfa
House Bill 5027 (H-1) as reported from committee Analysis available at
Sponsor: Rep. Laurie Pohutsky http://www.legislature.mi.gov
Committee: Health Policy
Complete to 6-26-24
SUMMARY:
House Bill 5027 would amend the Social Welfare Act to require the Department of Health and
Human Services (DHHS) to establish standards and guidelines for providing prenatal care
services under Medicaid. DHHS would have to consult with prenatal care providers and local
medical experts for guidance on how these services should be covered. The following would
apply to the DHHS standards and guidelines:
• In establishing the standards and guidelines, DHHS would have to consider generally
accepted standards of care by professional practice, including recommendations from
the American College of Obstetricians and Gynecologists (ACOG) 1 and the American
College of Medical Genetics and Genomics (ACMG). 2
• All pregnant patients would have to be given access to noninvasive prenatal testing.
The DHHS standards and guidelines could not limit access, availability, or coverage
based on the patient’s age or baseline risk.
• All pregnant patients and those planning a pregnancy would have to be given access to
expanded carrier screening 3 that is intended for use in a global population that
encompasses over 100 inheritable autosomal recessive and X-linked conditions with a
carrier frequency 4 of approximately greater than or equal to 1/200 in any ethnic group.
The DHHS standards and guidelines could not limit access, availability, or coverage
for the screening based on the patient’s family history or ethnic background.
Proposed MCL 400.109o
FISCAL IMPACT:
House Bill 5027 would likely have no fiscal impact on the Department of Health and Human
Services or the Michigan Medicaid program. Article 6 of 2023 PA 119, the annual DHHS
appropriations, includes $6.0 million Gross ($900,700 GF/GP) to reinstate the Plan First!
Medicaid-funded family planning service. Genomic testing services would presumably be
1
https://www.acog.org/
2
https://www.acmg.net/
3
The method used to identify those at risk of having a child with an autosomal recessive or X-linked genetic disorder.
See https://medlineplus.gov/genetics/understanding/inheritance/inheritancepatterns/ X-linked disorders include
Duchene muscular dystrophy, hemophilia A, and Fabry disease: https://www.ncbi.nlm.nih.gov/books/NBK557383/
Autosomal recessive disorders include sickle cell disease, cystic fibrosis, phenylketonuria (PKU), and Tay-Sachs
disease: https://www.columbiadoctors.org/health-library/multimedia/carrier-test-autosomal-recessive-conditions/
4
Defined as the proportion of individuals in a population who have a single copy of a specific recessive genetic
variant. (Carrier frequency of greater than or equal to 1/200 would mean at least one in 200 people is a carrier.)
House Fiscal Agency Page 1 of 2
 covered under the reimplemented program. For reference, in 2021 Medicaid-funded births in
Michigan totaled 39,585. 5
POSITIONS:
A representative of Myriad testified in support of the bill. (10-19-23)
The following entities indicated support for the bill:
• American College of Nurse-Midwives, Michigan Affiliate (11-2-23)
• Bonnell Foundation Living with Cystic Fibrosis (10-19-23)
• Henry Ford Health (11-2-23)
• Illumina (10-19-23)
• Michigan Council for Maternal and Child Health (10-19-23)
• Michigan County Social Services Association (10-19-23)
• Michigan League for Public Policy (10-19-23)
• Michigan Organization on Adolescent Sexual Health (11-2-23)
• Michigan State Medical Society (11-2-23)
• Nurse Family Partnership (11-2-23)
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.
5
https://www.kff.org/medicaid/state-indicator/births-financed-by-medicaid/
House Fiscal Agency HB 5027 as reported Page 2 of 2


Statutes affected:
Substitute (H-1): 400.1, 400.119
House Introduced Bill: 400.1, 400.119
As Passed by the House: 400.1, 400.119