Laws & Statutes › MI › MI-HB-4537
HB-4537
MI · State · USA
MI
USA
● Pending
Proposed Effective Date
2025-06-03
Michigan House Bill No. 4537 — A bill to amend 1939 PA 280 (The Social Welfare Act) (MCL 400.1 to 400.119b) by adding section 107b
Prohibits the Michigan Department of Health and Human Services and any contracted health plan from denying, modifying, or delaying a claim under the state's Medicaid (medical assistance) program based on a review using artificial intelligence. The bill is a single operative sentence adding Section 107b to the Social Welfare Act. No definitions, enforcement mechanisms, penalties, or private rights of action are specified. The prohibition is absolute — it does not condition the ban on the absence of human review or other safeguards.
Passage Likelihood
Low
Chamber No passage
Committee No action
Majority party Yes
Bipartisan No
Prior session None
Legislative History
2025-06-03 introduced Introduced By Representative Rep. Carrie Rheingans
2025-06-03 committee referral Referred To Committee On Communications And Technology
2025-09-18 committee referral Referred To Committee On Insurance
2026-03-19 committee referral Referred To Committee On Communications And Technology
Mapped Requirements
HC-01 Healthcare AI Decision Restrictions
Official Sources
Full Text ↗
Entry Last Reviewed
2026-03-28
AI generated
Summary

Prohibits the Michigan Department of Health and Human Services and any contracted health plan from denying, modifying, or delaying a claim under the state's Medicaid (medical assistance) program based on a review using artificial intelligence. The bill is a single operative sentence adding Section 107b to the Social Welfare Act. No definitions, enforcement mechanisms, penalties, or private rights of action are specified. The prohibition is absolute — it does not condition the ban on the absence of human review or other safeguards.

Enforcement & Penalties
Enforcement Authority
No enforcement mechanism, private right of action, or penalty provision is specified in the bill text. Enforcement would presumably fall under the Michigan Department of Health and Human Services' existing authority over the medical assistance program and contracted health plans.
Penalties
The bill does not specify any damages, penalties, or remedies.
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 the state Medicaid program are categorically prohibited from using artificial intelligence as the basis for denying, modifying, or delaying any Medicaid claim. Unlike most healthcare AI restrictions that require human oversight of AI-informed decisions, this provision is an outright ban — AI may not serve as the basis for any adverse claim action at all, regardless of whether a human also reviews the decision. The bill does not define 'artificial intelligence,' 'claim,' or 'review,' leaving significant interpretive questions about whether AI tools used for administrative processing, fraud detection, or clinical decision support would fall within scope.
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.