HB6212

Insurance: health benefits; application of amount paid by the insured or other certain parties when calculating the insured’s co-pay for a prescription drug; require under certain conditions. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406nn.

Introduced·7/3/26
Introduced Text

Michigan HB6212 requires health insurance policies to include payments made by the insured or others when calculating co-pays for prescription drugs.

Michigan HB6212 amends the state's insurance laws to mandate that health insurance policies, including those that are not high deductible health plans, must account for payments made by the insured or others when determining the insured's overall contribution to out-of-pocket maximums or cost-sharing requirements for prescription drugs. This change applies to policies delivered, issued for delivery, or renewed in Michigan after December 31, 2025. The bill also specifies that if any provision conflicts with federal law, federal law takes precedence.

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  • 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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21
0
Democratic CaucusRepublican Caucus

History

Jul 14

House

Bill Electronically Reproduced 07/03/2026

Jul 3

House

Introduced By Representative Rep. Carrie Rheingans

Jul 3

House

Read A First Time