HB5204

Insurance: health insurers; prescription drug coverage for metastatic cancer; prohibit certain conditions. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406rr.

Introduced·11/4/25
Introduced Text

Michigan HB5204 prohibits insurers from requiring patients with advanced metastatic cancer to fail a different drug before covering their current.

Michigan HB5204 amends the state's insurance laws to ensure that health insurers cannot require patients with advanced metastatic cancer to fail a different prescription drug or prove a history of failure with another drug before covering their current prescription. This applies to health insurance policies that provide coverage for prescription drugs for advanced metastatic cancer and associated conditions.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Insurance Committee
Next
Committee decision

Sponsors

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33
1
R
Democratic CaucusRepublican Caucus

History

Nov 5, 2025

House

Bill Electronically Reproduced 11/04/2025

Nov 4, 2025

House

Introduced By Representative Rep. Brenda Carter

Nov 4, 2025

House

Read A First Time