MI
Michigan House Bill HB4537

Michigan 2025-2026 Regular Session

Michigan House Bill HB4537

Introduced
6/3/25  

Caption

Human services: medical services; use of artificial intelligence tools to make decisions regarding claims; prohibit. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 107b.

Impact

If enacted, HB4537 would significantly impact the operations of state healthcare programs and contracted health plans in Michigan. By ensuring that artificial intelligence tools cannot be used to deny or adjust claims, the bill aims to protect patients from potentially unjust decisions made without human intervention. This could improve transparency in the claims process and restore trust among patients who may be wary of automated decision-making in healthcare.

Summary

House Bill 4537 aims to amend the 1939 Public Act 280, known as the Social Welfare Act, by adding a new section that explicitly prohibits the denial, modification, or delay of medical assistance claims based on artificial intelligence assessments. This legislative move is designed to ensure that healthcare decisions remain under human control, emphasizing the importance of human oversight in medical claim evaluations. The bill recognizes growing concerns over the reliance on technology in healthcare decisions, particularly regarding the efficacy and fairness of AI algorithms in evaluating medical claims.

Contention

Despite its intentions, the bill may face opposition from healthcare providers and insurance companies who advocate for the use of artificial intelligence to streamline and improve the efficiency of claim processing. Proponents of AI argue that technology can enhance decision-making, reduce operational costs, and ensure quicker approvals for claims. Critics, however, might contend that this technology can also lead to errors and adverse outcomes for patients if it lacks adequate oversight. Thus, the bill could spark vigorous debates regarding the balance between technological advancement and patient safeguarding.

Companion Bills

No companion bills found.

Previously Filed As

MI SB0301

Human services: medical services; coverage for doula services; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109o.

MI SB1127

Human services: medical services; coverage for group prenatal care services; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109t.

MI SB1183

Human services: medical services; Medicaid coverage for fertility preservation; provide for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109p.

MI HB5458

Human services: medical services; sickle cell disease program; require Medicaid managed care organizations to participate in. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 106c.

MI HB5027

Human services: medical services; coverage for certain prenatal screenings; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109o.

MI HB6046

Human services: medical services; coverage for community violence prevention services; provide for. Amends 1939 PA 280 (MCL 400.1 to 400.119b) by adding secs. 89 and 89a.

MI HB4276

Human services: medical services; Medicaid managed care contract with pharmacy benefit manager; regulate, and require reporting. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding secs. 105i & 105j.

MI HB4496

Human services: medical services; general changes to the medical assistance program; provide for. Amends secs. 105b & 109f of 1939 PA 280 (MCL 400.105b & 400.109f) & repeals secs. 105c & 105f of 1939 PA 280 (MCL 400.105c & 400.105f).

MI HB5695

Human services: medical services; participation in the ground emergency medical transport reimbursement program; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109p.

MI HB5345

Human services: medical services; mental health parity and addiction equity compliance; provide for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109o.

Similar Bills

No similar bills found.