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Bill > HB4622


MI HB4622

MI HB4622
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


summary

Introduced
05/23/2023
In Committee
10/05/2023
Crossed Over
06/28/2023
Passed
10/10/2023
Dead
Signed/Enacted/Adopted
10/19/2023

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 3406z.

AI Summary

This bill prohibits health insurers in Michigan from imposing lifetime or annual dollar limits on essential health benefits coverage, with some exceptions. Specifically, it prohibits health insurers from setting lifetime or annual limits on the dollar value of essential health benefits, as defined under existing law. However, the bill does not prevent insurers from setting annual or lifetime dollar limits on specific covered benefits that are not considered essential health benefits, as long as such limits are otherwise permitted under applicable federal or state law. The bill also excludes grandfathered health plans and short-term or one-time limited duration policies of 6 months or less from these requirements. The bill's enactment is tied to the passage of another bill, House Bill No. 4623.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (33)

Last Action

Assigned Pa 159'23 (on 10/19/2023)

bill text


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bill summary

Document Type Source Location
State Bill Page http://legislature.mi.gov/doc.aspx?2023-HB-4622
Analysis - LSB: Public Act 159 of 2023 with Editorial Information https://legislature.mi.gov/documents/2023-2024/billanalysis/LSB/pdf/2023-LSB-4622-A.pdf
Fiscal Note/Analysis - Summary as Enacted https://legislature.mi.gov/documents/2023-2024/billanalysis/House/pdf/2023-HLA-4619-5DE1685D.pdf
BillText http://www.legislature.mi.gov/documents/2023-2024/publicact/htm/2023-PA-0159.htm
BillText http://www.legislature.mi.gov/documents/2023-2024/billenrolled/House/htm/2023-HNB-4622.htm
BillText http://www.legislature.mi.gov/documents/2023-2024/billengrossed/House/htm/2023-HEBS-4622.htm
Fiscal Note/Analysis - SUMMARY OF BILL REPORTED FROM COMMITTEE https://legislature.mi.gov/documents/2023-2024/billanalysis/Senate/pdf/2023-SFA-4619-F.pdf
Fiscal Note/Analysis - SUMMARY OF HOUSE-PASSED BILL IN COMMITTEE https://legislature.mi.gov/documents/2023-2024/billanalysis/Senate/pdf/2023-SFA-4619-L.pdf
House Substitute (H-3) https://legislature.mi.gov/mileg.aspx?page=CurrentVersionAmendment&cvFileName=2023-HCVBS-4622-0O339.pdf
House Substitute (H-1) https://legislature.mi.gov/mileg.aspx?page=CurrentVersionAmendment&cvFileName=2023-HCVBS-4622-0O338.pdf
Fiscal Note/Analysis - Summary as Passed by the House https://legislature.mi.gov/documents/2023-2024/billanalysis/House/pdf/2023-HLA-4619-7B24AA03.pdf
Fiscal Note/Analysis - Revised Summary as Reported from Committee https://legislature.mi.gov/documents/2023-2024/billanalysis/House/pdf/2023-HLA-4619-FEF55FDD.pdf
BillText http://www.legislature.mi.gov/documents/2023-2024/billengrossed/House/htm/2023-HEBH-4622.htm
House Substitute (H-1) https://legislature.mi.gov/mileg.aspx?page=CurrentVersionAmendment&cvFileName=2023-HCVBS-4622-0N295.pdf
Fiscal Note/Analysis - Summary as Reported from Committee https://legislature.mi.gov/documents/2023-2024/billanalysis/House/pdf/2023-HLA-4619-73FA6610.pdf
Fiscal Note/Analysis - Summary as Introduced https://legislature.mi.gov/documents/2023-2024/billanalysis/House/pdf/2023-HLA-4619-8ECF4D05.pdf
BillText http://www.legislature.mi.gov/documents/2023-2024/billintroduced/House/htm/2023-HIB-4622.htm
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