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MI HB5013

MI HB5013
Insurance: health insurers; coverage for the dispensing of a 12-month supply of birth control; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z.


summary

Introduced
09/19/2023
In Committee
12/12/2024
Crossed Over
11/13/2024
Passed
Dead
12/31/2024

Introduced Session

102nd Legislature

Bill Summary

A bill to amend 1956 PA 218, entitled"The insurance code of 1956,"(MCL 500.100 to 500.8302) by adding section 3406jj.

AI Summary

This bill amends the Insurance Code of 1956 to require health insurance policies delivered, issued, or renewed in Michigan to provide coverage for a 12-month supply of prescription contraceptives. The bill mandates that insurers cover the full 12-month supply at one time, unless the insured requests a smaller amount or the prescriber determines a smaller supply is medically appropriate. The bill also requires coverage for related outpatient consultations, examinations, and medical services. While insurers can apply typical cost-sharing provisions like copays and deductibles, they cannot impose other utilization controls that limit the supply to less than 12 months, unless the FDA deems a 12-month supply medically inappropriate. The new requirements would apply to policies beginning December 31, 2025.

Committee Categories

Health and Social Services

Sponsors (24)

Last Action

Referred To Committee Of The Whole (on 12/12/2024)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Regulation of Drug Industry and Pharmacies

bill text


bill summary

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bill summary

Document Type Source Location Created
State Bill Page http://legislature.mi.gov/doc.aspx?2023-HB-5013 09/19/2023
Fiscal Note/Analysis - Senate: SUMMARY OF BILL REPORTED FROM COMMITTEE https://legislature.mi.gov/documents/2023-2024/billanalysis/Senate/pdf/2023-SFA-5013-F.pdf 12/13/2024
Fiscal Note/Analysis - Senate: SUMMARY OF HOUSE-PASSED BILL IN COMMITTEE https://legislature.mi.gov/documents/2023-2024/billanalysis/Senate/pdf/2023-SFA-5013-L.pdf 12/11/2024
BillText https://legislature.mi.gov/documents/2023-2024/billengrossed/House/htm/2023-HEBH-5013.htm 11/13/2024
Fiscal Note/Analysis - House: Summary as Reported from Committee https://legislature.mi.gov/documents/2023-2024/billanalysis/House/pdf/2023-HLA-5013-D1114141.pdf 11/13/2024
Fiscal Note/Analysis - House: Summary of Proposed H-3 Substitute https://legislature.mi.gov/documents/2023-2024/billanalysis/House/pdf/2023-HLA-5013-89207CCA.pdf 04/18/2024
Fiscal Note/Analysis - Summary as Introduced https://legislature.mi.gov/documents/2023-2024/billanalysis/House/pdf/2023-HLA-5013-B6BA6332.pdf 03/05/2024
BillText http://www.legislature.mi.gov/documents/2023-2024/billintroduced/House/htm/2023-HIB-5013.htm 09/19/2023
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