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McCall Hamilton Advocacy and Public Affairs

Updates About Agency Policy Updates

New Consumer Protections and Licensing Rules for Pharmacy Benefit Managers

Update: Nov 22-Dec 15, 2023

Governor Whitmer and the Department of Insurance and Financial Services (DIFS) are introducing new licensing rules for pharmacy benefit managers (PBMs) to alleviate prescription drug costs for Michiganders. These changes, outlined on a newly launched DIFS website, stem from a set of prescription drug bills enacted last year. Governor Whitmer has stressed the importance of ensuring affordable access to necessary medications without forcing tough choices between health and other expenses.

Director Anita Fox highlighted the role of PBMs in managing drug benefits and the significance of DIFS’ licensing authority in safeguarding Michiganders from soaring drug expenses. The legislation, born from recommendations by the Prescription Drug Task Force, imposed crucial consumer safeguards, including oversight on PBM licenses, bans on “gag clauses” and “spread pricing,” and requirements for PBMs to furnish transparency reports to DIFS. These measures aim to provide clarity, reduce costs, and enhance access to crucial drug cost information for Michigan residents.

New Medicaid Director Announced at MDHHS

Update: May 8-19, 2023

Meghan Groen has been selected to head the state’s Medicaid program, effective immediately.

Groen has 20 years of experience in government, policy and nonprofit administration, most recently as senior advisor to DHHS Director Elizabeth Hertel. In addition to her Medicaid Director duties, Meghan will also oversee physical and behavioral health and long-term care and aging programs. Prior to joining MDHHS, Groen served as the deputy policy director and health policy advisor for Governor Gretchen Whitmer.

MDHHS and DIFS Issue COVID-19 Testing, Vaccine, and Treatment Update

Update: May 8-19, 2023

With the Public Health Emergency ending on May 11, 2023, MDHHS and DIFS issued guidance to the public about the future of COVID-19 tests, vaccines and treatments related to cost and accessibility in the state of Michigan.

Both departments reminded individuals that testing and vaccines continue to be available to the public at little to no cost.

For specific information on available testing, vaccines, treatments, and data, please see the following links:

MDHHS Update on End of PHE.

DIFS Update on End of PHE.