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MI HB5236

Bill

Status

Introduced

12/15/2011

Primary Sponsor

Lesia Liss

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Origin

House of Representatives

96th Legislature

AI Summary

HB 5236 Summary

  • Amends the nonprofit health care corporation reform act to modify reimbursement requirements for physical therapy services provided by licensed physical therapists or physical therapist assistants under supervision.

  • Health care corporations are not required to provide benefits or reimburse for physical therapy services unless the service was provided pursuant to a prescription issued by a licensed provider under parts 166, 170, 175, or 180 of the Public Health Code (dentists, physicians, osteopaths, or podiatrists) or equivalent out-of-state license.

  • Applies the same prescription requirement restriction to physical therapy services covered under prudent purchaser agreements.

  • Makes technical corrections to existing statutory language, replacing "pursuant to" with "under" and clarifying various grammatical provisions throughout sections 502 and 502a.

  • Bill effectiveness is contingent upon the enactment of House Bill No. 4603 of the 96th Legislature.

Legislative Description

Insurance; health care corporations; reimbursement for physical therapy services; allow health care corporation to withhold unless patient has a prescription from a licensed health professional. Amends secs. 502 & 502a of 1980 PA 350 (MCL 550.1502 & 550.1502a).

Insurance, health care corporations

Last Action

Recommendation Concurred In

2/2/2012

Committee Referrals

Insurance12/15/2011

Full Bill Text

No bill text available