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SB 1057

Relating to military civil rights.

2025 Regular Session Introduced by Sara Gelser Blouin and 2 co-sponsors

Authorizes expanding the Healthy Michigan Plan to cover perinatal and gynecological services, pending federal approval, with payment parity for freestanding birth centers.

In committee upon adjournment.
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Bill Summary · SB 1057

Michigan — SB 1057 (Substitute S‑1) — Summary

Status: Passed Legislature and signed by Governor (signed 2025-05-19; effective 2025-09-01)
Introduced: Feb 3, 2025 (Sen. Sylvia Santana, primary sponsor)
Statute amended: 1939 PA 280, sec. 109 (MCL 400.109) — Social Welfare Act (Healthy Michigan Plan / Medicaid expansion)

Purpose / Intent

SB 1057 authorizes the Michigan Department of Health and Human Services (DHHS) to expand Healthy Michigan Plan (HMP, Michigan’s Medicaid expansion) benefits to include perinatal and gynecological services, contingent on DHHS applying to and receiving federal approval (an amendment to the State Medicaid plan) from the U.S. Department of Health and Human Services (USDHHS). The measure is intended to broaden covered maternal and reproductive health services and integrate providers working in freestanding birth centers.

Key provisions

  • Adds “perinatal and gynecological services” to the list of services that may be covered under the Healthy Michigan Plan, contingent on DHHS applying for and obtaining the required federal Medicaid state-plan amendment.
  • Implementation requirements for DHHS:
    • Ensure services are provided by perinatal or gynecological professionals who are licensed, registered, or otherwise authorized to practice in Michigan — explicitly including providers working in freestanding birth centers established under proposed Part 207 (House Bill 5636).
    • Monitor and track managed-care plan compliance with the new coverage area; factor compliance into health plan incentive programs.
    • Provide payment parity by paying the same rate to perinatal/gynecological professionals working in freestanding birth centers licensed under proposed Part 207, and set payment approaches that promote high‑quality, cost‑effective, evidence‑based care and high‑value payment models while aiming to reduce risk in subsequent pregnancies.
  • Tie‑bar: SB 1057 is tie‑barred to HB 5636, which would establish licensure for freestanding birth centers (Part 207 of the Public Health Code). That means implementation is linked to enactment of HB 5636.

Who is affected

  • Medicaid/HMP enrollees: pregnant and postpartum individuals and persons seeking gynecological care who are covered by HMP.
  • Providers: perinatal and gynecological professionals licensed in Michigan (physicians, certified nurse‑midwives, and potentially licensed midwives and providers in freestanding birth centers if HB 5636 is enacted).
  • DHHS: administrative burden to apply for a federal state‑plan amendment, adopt guidelines, and monitor managed‑care plans.
  • Medicaid managed‑care plans: additional compliance and reporting requirements; potential inclusion in incentive metrics.
  • Freestanding birth centers (if HB 5636 enacted): would be explicitly included and receive parity in rates for specified services.

Fiscal impact

  • Fiscal impact on the State Medicaid program is uncertain. Existing Michigan Medicaid already covers perinatal/gynecological services from physicians and certified nurse‑midwives but does not currently cover services provided by licensed midwives.
  • If coverage merely substitutes licensed midwives/freestanding birth‑center providers for existing providers, net costs may not increase. If expansion increases utilization (more people access services), Medicaid costs could rise. No definitive dollar amount is assigned in the bill analysis.

Procedure / timeline notes

  • Coverage under HMP requires DHHS to submit and obtain federal approval for a Medicaid state‑plan amendment from USDHHS before services may be implemented.
  • SB 1057 is tied administratively to HB 5636 (freestanding birth center licensure); coordination between these measures affects timing and scope.
  • Governor signed bill 2025-05-19; official effective date listed as 2025-09-01.

Related measures

  • SB 1056 — donor human milk coverage for certain preterm or low‑birth‑weight infants (Medicaid).
  • SB 1058 — coverage for remote/telemedicine ultrasound procedures and fetal nonstress tests under HMP.
  • HB 5636 — proposes licensure for freestanding birth centers (tie‑bar to SB 1057).

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

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