The bill amends the Michigan Insurance Code of 1956 by adding a new section, 3406ss, which mandates that, starting January 1, 2026, insurers providing health insurance policies in Michigan must cover certain immunization-related services. Specifically, insurers are required to cover qualified immunizing agents listed by the Centers for Disease Control and Prevention when administered by a pharmacist at an in-network pharmacy. Additionally, coverage must include qualified laboratory tests and drugs dispensed by pharmacists, also at in-network pharmacies.

The bill allows insurers to implement utilization management, prior authorization, or precertification requirements for the mandated coverage. Furthermore, insurers can apply cost-sharing measures such as deductibles, co-insurance, or co-payments to the coverage provided under this new section. This legislation aims to enhance access to immunization services and related healthcare provided by pharmacists within the insurance framework.

Statutes affected:
Senate Introduced Bill: 500.100, 500.8302