Bill Summary – FastDemocracy

Legislative Analysis
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MATERNAL MENTAL HEALTH SCREENINGS
                                                                            http://www.house.mi.gov/hfa
House Bill 5169 (H-1) as reported from committee
                                                                            Analysis available at
Sponsor: Rep. Rachel Hood                                                   http://www.legislature.mi.gov
House Bill 5170 (H-1) as reported from committee
Sponsor: Rep. Brenda Carter
House Bill 5171 (H-1) as reported from committee
Sponsor: Rep. Kristian C. Grant
Committee: Health Policy
Complete to 6-26-24
SUMMARY:
       House Bill 5169 would amend the Public Health Code to require a health professional who is
       seeing an individual who has given birth, in a pediatric or obstetric and gynecological setting,
       to offer the mental health screening described below if the health professional determines at a
       follow-up appointment or well child visit during the individual’s postpartum period (the period
       after giving birth) that a mental health screening is appropriate for the individual. Any other
       health professional could offer the mental health screening at a follow-up appointment or well
       child visit to an individual who has given birth during the individual’s postpartum period or
       until the child is 12 months old. The provisions described in this paragraph would apply
       beginning January 1, 2026.
       The Department of Health and Human Services (DHHS) could develop a tool to be used by
       health professionals offering a screening as provided above, and a health professional could
       also conduct the screening by using an evidence-based screening tool to assess an individual’s
       maternal mental health or other postpartum risk factors.
       If a health professional determines that an individual who has given birth may be in need of
       mental health resources in addition to the screening described above, the health professional
       could provide the individual with any of the following mental health resources:
           • Mental health resources developed by DHHS.
           • Information on postpartum mental health conditions and their symptoms.
           • Treatment options for postpartum mental health conditions.
           • Referrals the health professional considers appropriate for the individual.
           • Any other information the health professional considers appropriate to support an
               individual the health professional determines may be in need of additional support or
               services.
       Proposed MCL 333.9137
       House Bill 5170 would amend the Insurance Code to require an insurer that delivers, issues
       for delivery, or renews a health insurance policy in Michigan to provide coverage for mental
       health screenings during the postpartum period as described in HB 5169.
       Proposed MCL 500.3406oo
House Fiscal Agency                                                                          Page 1 of 2
        House Bill 5171 would amend the Social Welfare Act to require Medicaid to cover mental
        health screenings during the postpartum period for Medicaid recipients as described in HB
        5169.
        MCL 400.109
FISCAL IMPACT:
        House Bill 5169 would increase state expenditures to the Department of Health and Human
        Services and local units of government by an indeterminate amount. The fiscal impact on state
        expenditures would be dependent on the cost of developing and/or implementing a mental
        health screening tool for new mothers. The fiscal impact on local units of government would
        be dependent on any additional administrative or training costs associated with the
        implementation of the mental health screening tool.
        House Bill 5170 would not have a fiscal impact on the Department of Insurance and Financial
        Services or on other units of state or local government.
        House Bill 5171 would incur an upper-bound, estimated cost of $2.3 million Gross ($788,700
        GF/GP) 1 per year for the Michigan Medicaid program, assuming every eligible recipient
        receives a Medicaid-provided mental health screening during the postpartum period. Median
        national reimbursements for Medicaid-provided “other psychiatric diagnostic procedures,
        psychotherapy services and procedures” were $57.45 2 per encounter, as of 2022. The number
        of births financed by Medicaid in 2021 totaled 39,585 individuals, 3 and was used as a proxy
        variable for the number of pregnant women that would be eligible for the Medicaid-provided
        mental health screenings during the postpartum period.
POSITIONS:
        A representative of MomsBloom testified in support of the bills. (10-26-23)
        The following entities indicated support for the bills:
           • Michigan Health and Hospital Association (11-2-23)
           • Michigan League for Public Policy (10-26-23)
           • Michigan Nurses Association (10-26-23)
           • 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 Analysts: Sydney Brown
                                                                                      Marcus Coffin
                                                                                      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.
1
  Assuming a federal medical assistance percentage (FMAP) of 65.32.
2
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10125036/
3
  https://www.kff.org/medicaid/state-indicator/births-financed-by-medicaid/
House Fiscal Agency                                            HBs 5169, 5170, and 5171 as reported   Page 2 of 2
Statutes affected: 
Substitute (H-1): 500.100, 500.8302
House Introduced Bill: 500.100, 500.8302
As Passed by the House: 500.100, 500.8302