Senate Bill 1237 Summary

• Establishes a Michigan Medical Care Database administered by the Financial and Insurance Regulation Commission to collect statewide healthcare cost data from health insurance carriers.

• Requires health carriers to submit quarterly data on patient encounters, diagnoses, healthcare services rendered, charges, payments, and provider information, excluding personal identifying information like social security numbers.

• Imposes $10,000 administrative fines for each failure by carriers to file required data and requires reporting to the Commissioner of carriers failing to submit data for 12 months or longer.

• Mandates annual reports beginning February 1 after the effective date showing fee variations, geographic utilization differences, total reimbursements by specialty and CPT code, and annual rate of change in healthcare reimbursements.

• Requires the Commission to make all collected data and reports publicly available on its internet website while protecting confidential patient records and health professional-patient privilege information.