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Michigan Bill Requires Health Insurers to Cover Menopause Treatments and Ban Prior Authorizations

Original title: Insurance: health insurers; 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: Rosemary Bayer and 2 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Health insurance policies issued or renewed in Michigan must cover medically necessary menopause and perimenopause care, including hormone replacement therapy, and insurers are prohibited from requiring or step therapy for those hormone treatments.

Background
  • Senate Bill 718 was introduced in the Michigan Senate during the 2025-2026 legislative session and referred to the Committee on Health Policy. context
  • The Insurance Code of 1956 governs the regulation of insurance policies and insurers operating within the state of Michigan. 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

Health insurance policyholders

Insured individuals receiving menopause and perimenopause care gain guaranteed insurance coverage and relief from prior authorization requirements for hormone replacement therapy.

Directly affected

Health insurers

Insurers must update their coverage policies to include menopause and perimenopause care and must eliminate pre-approval and step therapy requirements for hormone replacement medications.

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

What specific treatments for menopause must health insurers cover?
Insurers must cover any medically necessary care or treatment for menopause and perimenopause, including hormone replacement therapy and treatments approved by the United States Food and Drug Administration.
Can health insurance companies require prior approval before prescribing hormone replacement therapy?
No. The bill explicitly prohibits insurers from requiring , step therapy, or fail-first protocols for hormone replacement therapy medications used to treat menopause and perimenopause.

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 ROSEMARY BAYER

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

Banning Prior Authorization for Specific Hormone Therapies

The legislation removes administrative approval barriers specifically for hormone replacement therapy used for menopause and perimenopause, marking a direct statutory limit on insurer utilization management protocols.

Connected Entities

United States Food and Drug Administration
OrganizationUnited States Food and Drug Administration“Approves treatments that qualify for coverage under the bill”Map →

Sources

Open source document

legislature.mi.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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