Legislative Analysis
Phone: (517) 373-8080
COVERAGE FOR BLOOD PRESSURE MONITORS http://www.house.mi.gov/hfa
DURING PREGNANCY OR POSTPARTUM PERIOD
Analysis available at
House Bill 5167 (H-1) as reported from committee http://www.legislature.mi.gov
Sponsor: Rep. Cynthia Neeley
House Bill 5168 (H-1) as reported from committee
Sponsor: Rep. Kimberly Edwards
Committee: Health Policy
Complete to 6-26-24
SUMMARY:
House Bill 5167 would amend the Social Welfare Act to provide that an individual who is
pregnant or is within a postpartum period is eligible for medical assistance coverage of a
blood pressure monitor designed for use during pregnancy and fitted to the individual.
Proposed MCL 400.109o
House Bill 5168 would amend the Insurance Code to require insurers that deliver, issue
for delivery, or renew a health insurance policy in Michigan to cover a blood pressure
monitor for a pregnant or postpartum insured individual, subject to applicable cost sharing,
including deductible, co-insurance, or co-pay provisions.
Proposed MCL 500.3406kk
FISCAL IMPACT:
House Bill 5167 would incur an upper-bound estimated cost of $2.5 million Gross
($855,300 GF/GP) 1 per year for the Michigan Medicaid program, assuming that every
eligible recipient receives a Medicaid-provided blood pressure monitor. Medicaid
reimbursements for automatic blood pressure monitors are $62.30 2 per monitor, as of July
2023. The number of births financed by Medicaid in Michigan 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 blood pressure monitors.
House Bill 5168 would not have a fiscal impact on the Department of Insurance and
Financial Services or on other units of state or local government.
1
Assuming a federal medical assistance percentage (FMAP) of 65.32.
2
Centers for Medicare and Medicaid Services; accessed 10/02/23.
3
https://www.kff.org/medicaid/state-indicator/births-financed-by-medicaid/
House Fiscal Agency Page 1 of 2
POSITIONS:
A representative of the American College of Obstetricians and Gynecologists testified in
support of the bills. (10-19-23)
The following entities indicated support for the bills:
• American College of Nurse-Midwives, Michigan Affiliate (10-26-23)
• Michigan Council for Maternal and Child Health (10-19-23)
• Michigan League for Public Policy (10-19-23)
• Michigan Organization on Adolescent Sexual Health (10-26-23)
• Nurse Family Partnership (10-26-23)
The American Heart Association indicated support for HB 5167. (10-19-23)
Legislative Analyst: Rick Yuille
Fiscal Analysts: Kent Dell
Marcus Coffin
■ 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 HBs 5167 and 5168 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