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New Michigan Medicaid work requirements and changes to the Healthy Michigan Plan were signed into law on Friday, June 22 and will begin to take effect in 2020.

The major changes to the Healthy Michigan Plan are:

• The new law has added work requirements for non-exempt enrollees, while the previous plan had no work requirements.
• Previously, Healthy Michigan enrollees with income above 100 percent of federal poverty made monthly contributions of 2 percent of their income. Now, Healthy Michigan enrollees with income above 100 percent of federal poverty who have been on the program for 48 months or more will have their monthly premium contributions increase from 2 to 5 percent of their income.
• Previously, Healthy Michigan enrollees with income above 100 percent of federal poverty could receive a 50 percent
  reduction in monthly contributions if they engaged in a healthy behavior. Now, Healthy Michigan enrollees with income above 100 percent of federal poverty who have been on the program for 48 months or more must engage in a healthy behavior to maintain Healthy Michigan coverage. 
• The new law offers no Marketplace option.
• Previously, the Healthy Michigan Plan would be terminated if the program’s net costs to the state exceed savings to the
  state. Now, in addition to the existing trigger, the Healthy Michigan Plan will be also be terminated if CMS fail to approve
  Michigan’s proposal within 12 months, deny or cancel Michigan’s proposal and do not approve an amended proposal, or the CMS-approved proposal does not comply with the Healthy Michigan Plan law. 

Here’s a side-by-side comparison of the current law regarding Healthy Michigan Plan and the new law.

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