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MI SB0692
Bill
AI Summary
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Amends the prudent purchaser agreement law to clarify that physical therapist and physical therapist assistant services require a prescription from a licensed health care professional (under parts 166, 170, 175, or 180 of the public health code) to be covered.
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Allows organizations offering coverage under prudent purchaser agreements to withhold reimbursement for physical therapy services unless provided pursuant to a valid prescription from an eligible licensed health professional.
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Applies the prescription requirement retroactively to services provided on or after a baseline date, establishing that coverage is only mandatory for services meeting this standard.
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Makes the act effective July 1, 2014, contingent upon the simultaneous enactment of Senate Bill No. 690.
Legislative Description
Insurance; prudent purchaser agreements; reimbursement for physical therapy services; allow insurance companies to withhold unless patient has a prescription from a licensed health professional. Amends sec. 3 of 1984 PA 233 (MCL 550.53). TIE BAR WITH: SB 0690'13
Insurance, prudent purchaser agreements
Last Action
Assigned Pa 0262'14 With Immediate Effect
7/16/2014