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Healthcare Affordability Debate Moves Forward in Lansing

Advocacy News – June 11, 2026 

What’s happening: The Senate Health Policy Committee continued work this week on a package of bills aimed at addressing healthcare affordability, including proposals related to state-based insurance exchanges, Association Health Plans (AHPs), prescription drug costs, health savings accounts (HSAs) and reinsurance.

Why it matters: Healthcare affordability remains one of the top concerns raised by Michigan employers. Rising premiums, deductibles and prescription drug costs continue to strain family budgets while making it more difficult for employers – especially small businesses – to offer competitive benefits, attract talent and invest in growth.

The Chamber’s view: The Michigan Chamber supports practical solutions that improve affordability, increase competition and expand access to quality coverage. Key recommendations include:

  • Expanding HAS flexibility
  • Establishing a reinsurance program
  • Increasing healthcare price transparency
  • Reviewing insurance coverage mandates
  • Expanding provider attraction and retention tools
  • Encouraging innovation and consumer choice
  • Repealing the Insurance Provider Assessment (IPA)

Notably: Two proposals advancing in the Senate align directly with Chamber recommendations – expanded HSA flexibility and a state reinsurance program. Both approaches have the potential to help lower costs for consumers and employers without reducing access to care.

What we’re watching:

Association Health Plans (AHPs): The committee also heard testimony on legislation authorizing AHPs. We are evaluating the model and whether it would create meaningful cost savings and improved value for employers and workers.

State-based exchange: Legislation creating a Michigan-run health insurance exchange also advanced from committee this week. Supporters argue a state-based exchange could provide greater flexibility and oversight. The Chamber is reevaluating the proposal but remains unconvinced that projected savings justify replacing the existing federal marketplace.

The bottom line: Michigan employers and workers need healthcare solutions that address the root causes of rising costs – not simply shift costs from one part of the system to another. The Chamber will continue advocating for policies that improve affordability, increase access and strengthen Michigan’s healthcare system for employers, employees and their families.

Contact Dan Papineau with Qs or more information.