Loading chat...

MI SB0692

Bill

Status

Passed

7/16/2014

Primary Sponsor

Thomas Casperson

Click for details

Origin

Senate

97th Legislature

AI Summary

  • 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.

  • 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.

  • 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.

  • 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

Committee Referrals

Health Policy5/20/2014
Insurance11/14/2013

Full Bill Text

No bill text available