Michigan 2025-2026 Regular Session Status: Passed Senate 1 D cosponsors

SB 38 — Human services: medical services; guidelines for coverage for perinatal and gynecological services; provide for. Amends sec. 109 of 1939 PA 280 (MCL 400.109).

Last action — referred to Committee on Health Policy

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the Senate. Introduced April 17, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the House.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 48% · moderate confidence

  • Passed Senate

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Human services: medical services; guidelines for coverage for perinatal and gynecological services; provide for. Amends sec. 109 of 1939 PA 280 (MCL 400.109).

Bill Text

What changed in the latest version

8 added · 7 removed

Plain-language change summary

In the latest version of Bill SB 38, some lines of text were added while others were removed. This means that the language in the bill has been updated to include new provisions or clarifications, while potentially outdated or unnecessary sections have been taken out. These changes are important because they can affect how the law will be interpreted and implemented, ensuring it meets current needs and priorities.

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SUBSTITUTE FOR SENATE BILL NO.
SB-38, As Passed Senate, April 17, 2025 SUBSTITUTE FOR SENATE BILL NO.
Necessary OOI S01089'25 (S-1) tnwm8z 1 hospitalization to provide dental care must be provided if certified by the attending dentist with the approval of the department.
Necessary OOI S01089'25 (S-1)_SB38_APS_1 t7zy1q 1 hospitalization to provide dental care must be provided if certified by the attending dentist with the approval of the department.
An eligible individual may receive nursing home services in an extended care services program established under section 22210 of the public health code, 1978 PA 368, MCL 333.22210, to the extent found necessary by the attending physician when the combined length of stay in the acute care bed and short-term nursing care bed exceeds OOI S01089'25 (S-1) tnwm8z 1 the average length of stay for Medicaid hospital diagnostic related group reimbursement.
An eligible individual may receive nursing home services in an extended care services program established under section 22210 of the public health code, 1978 PA 368, MCL 333.22210, to the extent found necessary by the attending physician when the combined length of stay in the acute care bed and short-term nursing care bed exceeds OOI S01089'25 (S-1)_SB38_APS_1 t7zy1q 1 the average length of stay for Medicaid hospital diagnostic related group reimbursement.
(iii) For county-owned facilities with per patient day updated variable costs not exceeding the concomitant nursing home class variable cost limit, the county maintenance of effort rate must OOI S01089'25 (S-1) tnwm8z 1 equal zero.
(iii) For county-owned facilities with per patient day updated variable costs not exceeding the concomitant nursing home class variable cost limit, the county maintenance of effort rate must OOI S01089'25 (S-1)_SB38_APS_1 t7zy1q 1 equal zero.
In an emergency, but not routinely, the individual may receive pharmaceutical services rendered personally by a licensed physician or dentist on the same OOI S01089'25 (S-1) tnwm8z 1 basis as approved for pharmacists.
In an emergency, but not routinely, the individual may receive pharmaceutical services rendered personally by a licensed physician or dentist on the same OOI S01089'25 (S-1)_SB38_APS_1 t7zy1q 1 basis as approved for pharmacists.
(i) Ensure that the services described under this subdivision are provided by a perinatal or gynecological professional who is OOI S01089'25 (S-1) tnwm8z 1 licensed, registered, or otherwise authorized to practice in this state, including, but not limited to, a physician, a certified nurse-midwife as defined under section 2701 of the public health code, 1978 PA 368, MCL 333.2701, or a licensed midwife acting within the scope of his or her profession, whether the gynecological or perinatal care service is provided in a hospital, medical care facility, freestanding birth center licensed under article 17 of the public health code, 1978 PA 368, MCL 333.20101 to 333.22260, midwifery care facility, or home setting.
(i) Ensure that the services described under this subdivision are provided by a perinatal or gynecological professional who is OOI S01089'25 (S-1)_SB38_APS_1 t7zy1q 1 licensed, registered, or otherwise authorized to practice in this state, including, but not limited to, a physician, a certified nurse-midwife as defined under section 2701 of the public health code, 1978 PA 368, MCL 333.2701, or a licensed midwife acting within the scope of his or her profession, whether the gynecological or perinatal care service is provided in a hospital, medical care facility, freestanding birth center licensed under article 17 of the public health code, 1978 PA 368, MCL 333.20101 to 333.22260, midwifery care facility, or home setting.
OOI S01089'25 (S-1) tnwm8z (3) As used in this act:
OOI S01089'25 (S-1)_SB38_APS_1 t7zy1q (3) As used in this act:
Final Page OOI S01089'25 (S-1) tnwm8z
Final Page OOI S01089'25 (S-1)_SB38_APS_1 t7zy1q
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Action History

  1. referred to Committee on Health Policy

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 146 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (146)

146 members have not signed on to this bill.

Show all 146 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

PASSED

Passed 36 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 16001
Democrat 19000
Unaffiliated 1000
Total 36001
% of votes cast 97%0%0%3%
How each member voted (37)
Member Party Vote
Outman — Yea
Darrin Camilleri Democrat Yea
Dayna Polehanki Democrat Yea
Erika Geiss Democrat Yea
Jeff Irwin Democrat Yea
Jeremy Moss Democrat Yea
John Cherry Democrat Yea
Kevin Hertel Democrat Yea
Mallory McMorrow Democrat Yea
Mary Cavanagh Democrat Yea
Paul Wojno Democrat Yea
Rosemary Bayer Democrat Yea
Sam Singh Democrat Yea
Sarah Anthony Democrat Yea
Sean McCann Democrat Yea
Stephanie Chang Democrat Yea
Sue Shink Democrat Yea
Sylvia Santana Democrat Yea
Veronica Klinefelt Democrat Yea
Winnie Brinks Democrat Yea
Aric Nesbitt Republican Yea
Dan Lauwers Republican Yea
Edward McBroom Republican Yea
Jim Runestad Republican Yea
John Damoose Republican Yea
Jon Bumstead Republican Yea
Jonathan Lindsey Republican Yea
Joseph Bellino Jr. Republican Yea
Kevin Daley Republican Yea
Lana Theis Republican Yea
Mark Huizenga Republican Yea
Michael Webber Republican Yea
Michele Hoitenga Republican Yea
Roger Hauck Republican Yea
Roger Victory Republican Yea
Ruth Johnson Republican Not Voting
Thomas Albert Republican Yea

Official roll call →

PASSED ROLL CALL # 59 YEAS 36 NAYS 0 EXCUSED 1 NOT VOTING 0

Passed 36 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 17001
Democrat 19000
Total 36001
% of votes cast 97%0%0%3%
How each member voted (37)
Member Party Vote
Darrin Camilleri Democrat Yea
Dayna Polehanki Democrat Yea
Erika Geiss Democrat Yea
Jeff Irwin Democrat Yea
Jeremy Moss Democrat Yea
John Cherry Democrat Yea
Kevin Hertel Democrat Yea
Mallory McMorrow Democrat Yea
Mary Cavanagh Democrat Yea
Paul Wojno Democrat Yea
Rosemary Bayer Democrat Yea
Sam Singh Democrat Yea
Sarah Anthony Democrat Yea
Sean McCann Democrat Yea
Stephanie Chang Democrat Yea
Sue Shink Democrat Yea
Sylvia Santana Democrat Yea
Veronica Klinefelt Democrat Yea
Winnie Brinks Democrat Yea
Aric Nesbitt Republican Yea
Dan Lauwers Republican Yea
Edward McBroom Republican Yea
Jim Runestad Republican Yea
John Damoose Republican Yea
Jon Bumstead Republican Yea
Jonathan Lindsey Republican Yea
Joseph Bellino Jr. Republican Yea
Kevin Daley Republican Yea
Lana Theis Republican Yea
Mark Huizenga Republican Yea
Michael Webber Republican Yea
Michele Hoitenga Republican Yea
Rick Outman Republican Yea
Roger Hauck Republican Yea
Roger Victory Republican Yea
Ruth Johnson Republican Not Voting
Thomas Albert Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 38 do?
Human services: medical services; guidelines for coverage for perinatal and gynecological services; provide for. Amends sec. 109 of 1939 PA 280 (MCL 400.109).
Who sponsors SB 38?
SB 38 is sponsored by Sylvia Santana (Democrat).
What is the current status of SB 38?
This bill has passed the Senate. Introduced April 17, 2025. It now moves to the second chamber.
Where can I track SB 38?
Track SB 38 free on One Click Politics — get push/email alerts when it moves.

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