This bill amends the Social Welfare Act by modifying section 105d and adding a new section 105k. The amendments to section 105d include requirements for the Department of Health and Human Services to seek federal approval for enrolling eligible individuals into contracted health plans, ensuring access to primary care practitioners, and establishing cost-sharing requirements. Notably, the bill mandates that contracted health plans must allocate at least 12% of their overall annual healthcare spending to primary care over the next eight years. Additionally, the department is tasked with monitoring compliance and implementing various strategies to enhance healthcare quality, including the use of telemedicine and incentives for detecting fraud.

The newly added section 105k requires contracted health plans to report annually on their primary care spending, with specific plans for improvement if spending falls below the 12% threshold. The department is authorized to create rules to enforce this section, and "primary care spending" is defined to encompass various professional services provided by primary care physicians. Overall, the bill aims to strengthen the focus on primary care within Michigan's healthcare system while ensuring compliance with federal guidelines and improving health outcomes for enrollees.

Statutes affected:
House Introduced Bill: 400.105