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Michigan Bill SB 717 Requires Medicaid Coverage and Exemptions for Menopause and Perimenopause Treatments

Original title: Human services: medical services; coverage for treatment of menopause and perimenopause symptoms and waiver of prior authorization for prescription drugs or treatments for menopause and perimenopause symptoms; require.

Last action · December 2, 2025: REFERRED TO COMMITTEE ON HEALTH POLICYSponsors: Sylvia Santana and 2 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Senate Bill 717 requires Michigan's medical assistance program and health maintenance organizations to cover medically necessary menopause and perimenopause care, including hormone replacement therapy, and prohibits or protocols for these treatments.

Background
  • Senate Bill 717 amends Michigan's Social Welfare Act of 1939, which governs the state's medical assistance and Medicaid programs. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Medicaid beneficiaries

Enrollees gain guaranteed medical coverage and freedom from prior authorization and step therapy when seeking treatment for menopause and perimenopause symptoms.

Directly affected

health maintenance organizations

HMOs contracting with the department must comply with the mandated coverage and restrictions on prior authorization and step therapy for menopause treatments.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Does this bill eliminate prior authorization for all medications?
No, it eliminates specifically for certain exempted categories, including central nervous system drugs, HIV treatments, specific chronic conditions, and prescription drugs or treatments for menopause and perimenopause symptoms.
What is step therapy under this legislation?
or a fail-first policy is a protocol that requires a patient to try a cheaper or preferred drug before the insurer will cover the treatment prescribed by their doctor. The bill bans this for menopause hormone replacement therapy.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

2 actions
  1. Dec 2, 2025SenateCommittee
    REFERRED TO COMMITTEE ON HEALTH POLICY
  2. Dec 2, 2025SenateIntroduced
    INTRODUCED BY SENATOR SYLVIA SANTANA

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Expansion of Prior Authorization Exemptions

The bill adds menopause and perimenopause treatments to an existing group of protected drug classes (such as HIV, cancer, and epilepsy drugs) that are exempt from Medicaid prior authorization.

Connected Entities

United States Food and Drug Administration, American Psychiatric Association
OrganizationUnited States Food and Drug Administration“Federal agency approving drug indications and treatments”Map →
OrganizationAmerican Psychiatric Association“Publisher of the diagnostic and statistical manual of mental disorders”Map →

Sources

Open source document

legislature.mi.gov

Analysis Score

0–100
  • Significance60
    How much this matters to a regular citizen
  • Controversy25
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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