--- type: "Bill" title: "Insurance: health insurers; annual and lifetime dollar limits; prohibit. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z. TIE BAR WITH: HB 4623'23" description: "Insurance: health insurers; annual and lifetime dollar limits; prohibit. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z. TIE BAR WITH: HB 4623'23" jurisdiction: "us/states/mi" legislature: "Michigan Legislature" session: "2023-2024" identifier: "HB 4622" citation: "Michigan HB 4622 (2023-2024)" classification: ["bill"] subjects: ["Insurance: health insurers"] status: "enacted" primary_sponsors: ["Reggie Miller"] version_count: 8 action_count: 28 vote_count: 2 first_action: "2023-05-23" last_action: "2023-10-19" source: "openstates" source_identifier: "ocd-bill/d6d72880-a153-4823-97b8-0f7d8a182b37" source_url: "https://legislature.mi.gov/Bills/Bill?ObjectName=2023-HB-4622" source_hash: "2c7b8f6774d21fed85c2fdbe193644652f63b9c6f8b07d0f8cf7e53319ce617d" vintage: "2026-07-01" source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump" retrieved_at: "2026-07-06" confidence: "reported" tags: ["legislation", "bill", "us-mi"] --- # Michigan HB 4622 (2023-2024) — Insurance: health insurers; annual and lifetime dollar limits; prohibit. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z. TIE BAR WITH: HB 4623'23 ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **As Passed by the House** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billengrossed/House/pdf/2023-HEBH-4622.pdf) 2. **As Passed by the Senate** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billengrossed/House/pdf/2023-HEBS-4622.pdf) 3. **House Concurred Bill** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billconcurred/House/pdf/2023-HCB-4622.pdf) 4. **House Introduced Bill** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billintroduced/House/pdf/2023-HIB-4622.pdf) 5. **Public Act** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/publicact/pdf/2023-PA-0159.pdf) 6. **Substitute (H-1)** (committee substitute) — [source](https://legislature.mi.gov/Home/GetObject?objectName=2023-HCVBS-4622-0N295.pdf) 7. **Substitute (H-1) - 2** (committee substitute) — [source](https://legislature.mi.gov/Home/GetObject?objectName=2023-HCVBS-4622-0O338.pdf) 8. **Substitute (H-3)** (committee substitute) — [source](https://legislature.mi.gov/Home/GetObject?objectName=2023-HCVBS-4622-0O339.pdf) ## Votes - passed; given immediate effect Roll Call # 256 Yeas 64 Nays 44 Excused 0 Not Voting 2 — **64–44** (pass) · lower - PASSED ROLL CALL # 510 YEAS 21 NAYS 17 EXCUSED 0 NOT VOTING 0 — **21–17** (pass) · upper ## Sponsors - Reggie Miller — primary (person) - Abraham Aiyash — cosponsor (person) - Alabas Farhat — cosponsor (person) - Amos O'Neal — cosponsor (person) - Brenda Carter — cosponsor (person) - Carrie Rheingans — cosponsor (person) - Christine Morse — cosponsor (person) - Cynthia Neeley — cosponsor (person) - Donavan McKinney — cosponsor (person) - Emily Dievendorf — cosponsor (person) - Erin Byrnes — cosponsor (person) - Felicia Brabec — cosponsor (person) - Helena Scott — cosponsor (person) - Jason Morgan — cosponsor (person) - Jasper Martus — cosponsor (person) - Jenn Hill — cosponsor (person) - Jennifer Conlin — cosponsor (person) - Jim Haadsma — cosponsor (person) - Jimmie Wilson Jr. — cosponsor (person) - John Fitzgerald — cosponsor (person) - Julie Brixie — cosponsor (person) - Julie Rogers — cosponsor (person) - Kara Hope — cosponsor (person) - Kelly Breen — cosponsor (person) - Kristian Grant — cosponsor (person) - Matt Koleszar — cosponsor (person) - Mike McFall — cosponsor (person) - Natalie Price — cosponsor (person) - Noah Arbit — cosponsor (person) - Rachel Hood — cosponsor (person) - Ranjeev Puri — cosponsor (person) - Samantha Steckloff — cosponsor (person) - Veronica Paiz — cosponsor (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2023-05-23** introduced by Representative Reggie Miller `introduction` - **2023-05-23** read a first time `reading-1` - **2023-05-23** referred to Committee on Insurance and Financial Services `referral-committee` - **2023-05-24** bill electronically reproduced 05/23/2023 - **2023-06-21** reported with recommendation with substitute (H-1) `committee-passage` - **2023-06-21** referred to second reading - **2023-06-28** read a second time `reading-2` - **2023-06-28** substitute (H-1) adopted - **2023-06-28** substitute (H-3) adopted - **2023-06-28** placed on third reading - **2023-06-28** placed on immediate passage - **2023-06-28** read a third time `reading-3` - **2023-06-28** passed; given immediate effect Roll Call # 256 Yeas 64 Nays 44 Excused 0 Not Voting 2 `passage` - **2023-06-28** transmitted - **2023-06-28** REFERRED TO COMMITTEE ON HEALTH POLICY `referral-committee` - **2023-09-28** REPORTED FAVORABLY WITHOUT AMENDMENT `committee-passage` - **2023-09-28** REFERRED TO COMMITTEE OF THE WHOLE `referral-committee` - **2023-10-05** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S) `committee-passage` - **2023-10-05** PLACED ON ORDER OF THIRD READING - **2023-10-10** PASSED ROLL CALL # 510 YEAS 21 NAYS 17 EXCUSED 0 NOT VOTING 0 `passage` - **2023-10-10** INSERTED FULL TITLE - **2023-10-10** returned from Senate without amendment with full title - **2023-10-10** full title agreed to - **2023-10-10** bill ordered enrolled - **2023-10-17** presented to the Governor 10/17/2023 09:27 AM `executive-receipt` - **2023-10-19** approved by the Governor 10/19/2023 10:06 AM `executive-signature` - **2023-10-19** filed with Secretary of State 10/19/2023 11:46 AM - **2023-10-19** assigned PA 159'23 ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d6d72880-a153-4823-97b8-0f7d8a182b37`. Confidence: reported (aggregated from official Michigan legislature records).