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MI HB6062

Bill

Status

Introduced

11/29/2016

Primary Sponsor

Pam Faris

Click for details

Origin

House of Representatives

98th Legislature

AI Summary

  • Requires expense-incurred hospital, medical, or surgical policies and health maintenance organization contracts to provide coverage for prosthetic devices following mastectomy to maintain or replace body parts.

  • Mandates coverage of reasonable charges for medical care and reconstructive surgery following mastectomy or prosthetic device fitting after physician certification of medical necessity or desirability.

  • Prohibits insurers from requiring physicians to discharge mastectomy patients before the physician determines the patient has reached stabilization.

  • Defines "stabilization" as the point where no material deterioration of the patient's condition is likely to occur from discharge, based on reasonable medical probability.

Legislative Description

Insurance; health insurers; insurer requiring physician to discharge mastectomy patient before physician determines patient is stable; prohibit. Amends sec. 3406a of 1956 PA 218 (MCL 500.3406a).

Health occupations: physicians

Last Action

Bill Electronically Reproduced 11/29/2016

11/30/2016

Committee Referrals

Insurance11/29/2016

Full Bill Text

No bill text available