Bill
Bill > SB0027
MI SB0027
MI SB0027Insurance: health insurers; equitable coverage for behavioral health and substance use disorder treatment; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406hh.
summary
Introduced
01/18/2023
01/18/2023
In Committee
04/25/2024
04/25/2024
Crossed Over
10/18/2023
10/18/2023
Passed
05/02/2024
05/02/2024
Dead
Signed/Enacted/Adopted
05/22/2024
05/22/2024
Introduced Session
102nd Legislature
Bill Summary
AN ACT to amend 1956 PA 218, entitled ?An act to revise, consolidate, and classify the laws relating to the insurance and surety business; to regulate the incorporation or formation of domestic insurance and surety companies and associations and the admission of foreign and alien companies and associations; to provide their rights, powers, and immunities and to prescribe the conditions on which companies and associations organized, existing, or authorized under this act may exercise their powers; to provide the rights, powers, and immunities and to prescribe the conditions on which other persons, firms, corporations, associations, risk retention groups, and purchasing groups engaged in an insurance or surety business may exercise their powers; to provide for the imposition of a privilege fee on domestic insurance companies and associations and the state accident fund; to provide for the imposition of a tax on the business of foreign and alien companies and associations; to provide for the imposition of a tax on risk retention groups and purchasing groups; to provide for the imposition of a tax on the business of surplus line agents; to provide for the imposition of regulatory fees on certain insurers; to provide for assessment fees on certain health maintenance organizations; to modify tort liability arising out of certain accidents; to provide for limited actions with respect to that modified tort liability and to prescribe certain procedures for maintaining those actions; to require security for losses arising out of certain accidents; to provide for the continued availability and affordability of automobile insurance and homeowners insurance in this state and to facilitate the purchase of that insurance by all residents of this state at fair and reasonable rates; to provide for certain reporting with respect to insurance and with respect to certain claims against uninsured or self-insured persons; to prescribe duties for certain state departments and officers with respect to that reporting; to provide for certain assessments; to establish and continue certain state insurance funds; to modify and clarify the status, rights, powers, duties, and operations of the nonprofit malpractice insurance fund; to provide for the departmental supervision and regulation of the insurance and surety business within this state; to provide for regulation over worker?s compensation self-insurers; to provide for the conservation, rehabilitation, or liquidation of unsound or insolvent insurers; to provide for the protection of policyholders, claimants, and creditors of unsound or insolvent insurers; to provide for associations of insurers to protect policyholders and claimants in the event of insurer insolvencies; to prescribe educational requirements for insurance agents and solicitors; to provide for the regulation of multiple employer welfare arrangements; to create an automobile theft prevention authority to reduce the number of automobile thefts in this state; to prescribe the powers and duties of the automobile theft prevention authority; to provide certain powers and duties upon certain officials, departments, and authorities of this state; to provide for an appropriation; to repeal acts and parts of acts; and to provide penalties for the violation of this act,? (MCL 500.100 to 500.8302) by adding section 3406hh.
AI Summary
This bill amends the Michigan Insurance Code to require health insurers to provide coverage for mental health and substance use disorder services. The key provisions include:
- Ensuring that the financial requirements (deductibles, copays, etc.) and quantitative treatment limitations (visit limits, etc.) for mental health/substance use disorder benefits are no more restrictive than those for medical/surgical benefits.
- Requiring that any non-quantitative treatment limitations (such as prior authorization) applied to mental health/substance use disorder benefits are comparable to and not more stringent than those applied to medical/surgical benefits.
- Allowing insurers to divide outpatient benefits into office visits and other outpatient services, and to use tier-based provider networks, as long as the mental health/substance use disorder benefits within each tier are not more restrictive than the medical/surgical benefits.
- Defining key terms like "classification", "financial requirements", and "quantitative/non-quantitative treatment limitations" to provide clarity.
The bill aims to ensure parity and equitable coverage for behavioral health and substance use disorder treatment, in alignment with federal parity requirements.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (6)
Sarah Anthony (D)*,
Mary Cavanagh (D),
Stephanie Chang (D),
Erika Geiss (D),
Sam Singh (D),
Paul Wojno (D),
Last Action
Assigned Pa 0041'24 (on 05/22/2024)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
Loading...