Updates About Health Policy

A package of four bipartisan bills aimed at expanding access to assisted outpatient mental health treatment was unanimously advanced by the Senate Health Policy Committee. The legislation, including SB 219, SB 220, SB 221, and SB 222, seeks to improve early intervention by allowing individuals charged with misdemeanors to be diverted into outpatient treatment instead of awaiting crisis-level hospitalization. The bills would enable referrals by psychiatrists, allow law enforcement to act on reasonable cause, and permit courts to order treatment for up to 180 days, with options for extension. Supporters say the changes build on past reforms and will empower families, medical providers, and the courts to address mental health needs proactively and reduce the need for inpatient care.

A Senate panel has approved a package of bills aimed at addressing disparities in maternal health care for the second time. The bipartisan-supported package is championed by Senators Erika Geiss (D-Taylor), Mary Cavanagh (D-Redford Township), Stephanie Chang (D-Detroit), and Sarah Anthony (D-Lansing). Together, the bills seek to close gaps in care and combat systemic inequities that have led to higher maternal and infant mortality rates.

Key provisions of the Maternal Health Care Package include:

• Bias & Discrimination Reporting (SB 29, SB 30, SB 34 – Mandates the Department of Health and Human Services (DHHS) to collect and report data on perinatal care bias and amend civil rights laws to protect pregnant individuals.
• Hospital & Insurance Requirements (SB 31, SB 32, SB 33 – Ensures hospitals stabilize laboring patients before discharge and requires insurers to disclose perinatal care policies.
• Midwife & Medicaid Access (SB 36, SB 37, SB 38, SB 39 – Expands midwife loan repayment programs, mandates insurance reimbursement for midwives, and increases Medicaid coverage for maternal health services.
• Technical Amendments (SB 31, SB 37) – Adjustments were made to eliminate redundant reporting requirements and ensure midwives are included in insurance networks.

Governor Gretchen Whitmer has introduced a proposal to tax vaping products and nicotine pouches at the same 32% wholesale rate that currently applies to non-cigarette tobacco products like cigars and chewing tobacco. Named in the governor’s executive budget recommendation, her administration argues that this change would close a loophole in state law that allowed these nicotine products to avoid taxation. The executive office estimates the new tax could generate approximately $57 million annually, with funds earmarked for programs focusing on smoking prevention, expanded healthcare access, and adolescent mental health initiatives.

Thirty-two states already tax vaping products in some form, due to studies that link higher tobacco taxes to reduced consumption. With a CDC survey indicating that 14% of Michigan high schoolers have used vapes in the past month, all can agree that action is necessary. However, Whitmer’s proposal is expected to face opposition in the Michigan Legislature, where the House Republican majority has historically resisted new taxes.