Health Care Services Millage Renewal


Genesee Health Plan provides health care coverage for Genesee County residents through the Health Care Services Millage. 

This program serves as a health insurance coverage bridge — connecting Genesee County adults, seniors, and veterans to health care when other options are unavailable or unaffordable. 

Over the past 25 years, GHP has served one in four county residents.

What Is the Health Care Services Millage?

The Health Care Services Millage is the funding source that helps Genesee Health Plan deliver health care coverage for uninsured and underinsured Genesee County residents, as well as dental coverage for seniors and veterans.

Genesee Health Plan provides a coverage bridge during common life transitions — including when a young adult ages off a parent’s plan at 26, when a job change creates a gap in employer-sponsored coverage, and when a worker in their 50s or early 60s loses a job with years remaining before Medicare eligibility.

This is a renewal — not a new tax. Genesee County voters have approved the Health Care Services Millage three times — in 2006, 2012, and 2018. The renewal is on the November 2026 ballot.

Millage Details

  • Property tax rate: 0.8 mills
  • Estimated annual revenue: Approximately $11 million per year
  • Duration: 5 years

A Proven Track Record

Genesee Health Plan has been part of Genesee County for 25 years. During that time:

  • 3 prior voter approvals — 2006, 2012, and 2018
  • 1 in 4 Genesee County residents has received coverage
  • Annual independent audits are conducted every year and made available to the public
  • Local governance — every decision is made by people who live and work in Genesee County

Who Does Genesee Health Plan Serve?

GHP provides coverage for Genesee County residents age 19 and older who do not qualify for Medicaid but cannot afford private insurance. That includes:

  • Workers employed by one, two, or even three jobs without employer-sponsored health benefits
  • Seasonal and temporary employees without coverage
  • People between jobs
  • Young adults who have aged off a parent’s insurance plan at 26
  • Workers in their 50s and early 60s navigating the gap between job loss and Medicare eligibility
  • Seniors who need dental coverage that Medicare doesn’t provide
  • Veterans who don’t have dental coverage through the VA

Over the past 25 years, one in four Genesee County residents has received coverage through Genesee Health Plan.

What Does GHP Cover?

Genesee Health Plan connects working adults, young people, seniors, and veterans to primary care physicians, mental health services, and preventive screenings — reducing reliance on emergency rooms and keeping residents connected to ongoing care.

GHP provides health care services, including:

  • Doctor visits and primary care
  • Mental health counseling
  • Prescription drugs
  • Labs and preventive screenings, including mammograms and cancer screenings
  • Dental care for seniors and veterans

Accountability and Transparency

Because taxpayers fund GHP, accountability is a core commitment.

  • All millage dollars are publicly disclosed and reported.
  • Every year, an outside accounting firm reviews how GHP spends its money, and those results are posted publicly.
  • GHP makes yearly public reports and disclosures to the Genesee Health Plan Board of Directors and the Genesee County Board of Commissioners.

View Genesee Health Plan’s current 990 and the full Transparency and Accountability Statement.

Frequently Asked Questions

Is this a new tax?

No. The Health Care Services Millage is a renewal of an existing millage that voters have already approved three times. Renewing it will not increase your taxes. 

Who is eligible for Genesee Health Plan coverage?

GHP serves Genesee County residents age 19 and older who do not qualify for Medicaid but cannot afford private insurance — including workers without employer-sponsored coverage, people between jobs, young adults recently off a parent’s plan, and workers nearing retirement age. Learn more about Eligibility and Enrollment

How much does the millage generate?

The millage has generated approximately $9 million per year, which funds health care coverage and dental care for eligible Genesee County residents. 

How do I know GHP is spending this money responsibly?

Every year, an outside accounting firm reviews GHP’s finances. Those results are available to the public. You can view the current 990, or visit the Transparency and Accountability page for more information.

What services does GHP cover?

GHP covers doctor visits, mental health counseling, prescription drugs, labs, mammograms, cancer screenings, and dental care for seniors and veterans.

For more information, contact Genesee Health Plan at 1-844-232-7740 or visit geneseehealthplan.org.

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