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HB 5168

AN ACT RELATING TO HEALTH AND SAFETY -- LICENSING OF HEALTHCARE FACILITIES

2025 Regular Session Introduced by David Bennett and 8 co-sponsors

Michigan requires private health insurers to cover a home blood pressure monitor for pregnant or postpartum insured individuals, subject to standard cost-sharing.

02/25/2025 Committee recommended measure be held for further study
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WeVote Research Nonpartisan
Bill Summary · HB 5168

Summary — HB 5168 (Public Act 245 of 2024)

Status: Enacted (Public Act No. 245, 2024). Approved by Governor Jan 21, 2025. Effective date: April 2, 2025.

Purpose

Require private health insurers to provide coverage for a blood pressure monitor to insured individuals who are pregnant or in the postpartum period, reducing financial barriers to home blood pressure monitoring that can help detect hypertensive disorders of pregnancy (e.g., preeclampsia).

Key provisions

  • Amends the Insurance Code (adds MCL 500.3406kk, Chapter 34 — Disability Insurance Policies).
  • Requires any insurer that delivers, issues for delivery, or renews a health insurance policy in Michigan to cover a blood pressure monitor for a pregnant or postpartum insured.
  • Coverage is required but remains subject to the insured’s applicable cost‑sharing (deductible, co‑insurance, or co‑pay).
  • The statutory text does not specify technical device requirements (e.g., pregnancy‑specific fitting) or additional administrative rules; committee materials referenced pregnancy‑appropriate devices but the enacted language is broader.

Who is affected

  • Insurers: All health insurers issuing, delivering, or renewing policies in Michigan must provide the specified coverage.
  • Insured individuals: Pregnant people and those in the postpartum period who hold health insurance in Michigan.
  • Providers and suppliers: Durable medical equipment vendors and clinicians who prescribe or recommend home blood pressure monitors.

Fiscal and administrative impact

  • Nonpartisan legislative analyses report no fiscal impact on State or local government for HB 5168 (Department of Insurance and Financial Services unaffected).
  • A companion bill (HB 5167) addressed Medicaid coverage and carried an estimated upper‑bound Medicaid cost (analyses noted Medicaid already covers monitors in certain circumstances).

Rationale and stakeholder input

Committee materials cited clinical concerns about hypertensive disorders of pregnancy and support from organizations such as the American College of Obstetricians and Gynecologists and other maternal‑health groups.

Procedural timeline (selected)

  • Introduced: Oct 17, 2023
  • House passed (with substitute H‑1): Jun 26, 2024
  • Senate passed: Dec 19, 2024
  • Enrolled and presented to Governor: Jan 8, 2025
  • Approved and filed: Jan 21, 2025
  • Effective: Apr 2, 2025

Note: The law mandates coverage but preserves standard policy cost‑sharing; it does not add explicit enforcement provisions beyond existing insurance regulation.

Compiled from official sources — confirm details with the bill’s official record.

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