HB-4537
MI · State · USA
MI
USA
● Pending
Michigan House Bill No. 4537 — A bill to amend 1939 PA 280, entitled "The social welfare act," (MCL 400.1 to 400.119b) by adding section 107b
This one-sentence bill would prohibit the Michigan Department of Health and Human Services and any contracted health plan from denying, modifying, or delaying a claim under Michigan's Medicaid program (the medical assistance program) based on a review using artificial intelligence. The bill contains no definitions, no enforcement mechanism, no penalties, and no private right of action. It was introduced on June 3, 2025 and referred to the Committee on Communications and Technology.
Summary

This one-sentence bill would prohibit the Michigan Department of Health and Human Services and any contracted health plan from denying, modifying, or delaying a claim under Michigan's Medicaid program (the medical assistance program) based on a review using artificial intelligence. The bill contains no definitions, no enforcement mechanism, no penalties, and no private right of action. It was introduced on June 3, 2025 and referred to the Committee on Communications and Technology.

Enforcement & Penalties
Enforcement Authority
No enforcement mechanism or penalty provision is specified in the bill. Enforcement would presumably fall to the Michigan Department of Health and Human Services through its existing oversight of the medical assistance program and contracted health plans.
Penalties
The bill specifies no penalties, damages, or remedies of any kind.
Who Is Covered
Compliance Obligations 1 obligation · click obligation ID to open requirement page
HC-01 Healthcare AI Decision Restrictions · HC-01.1 · GovernmentDeployer · HealthcareGovernment System
MCL 400.107b
Plain Language
The Michigan Department of Health and Human Services and any health plan contracted to administer Michigan's Medicaid program are categorically prohibited from using artificial intelligence to deny, modify, or delay any Medicaid claim. Unlike most healthcare AI laws that require human oversight of AI-informed decisions, this bill imposes an outright ban — AI may not be used as the basis for any adverse claim action at all. The bill does not define 'artificial intelligence,' does not specify an enforcement mechanism or penalties, and does not create a private right of action. It also does not address whether AI may be used in a supportive or advisory capacity where a human independently makes the final determination, creating potential ambiguity about whether any AI involvement in the claims review process is prohibited.
Statutory Text
Sec. 107b. The department or a contracted health plan shall not deny, modify, or delay a claim under the medical assistance program based on a review using artificial intelligence.