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MI SB0915

Bill

Status

Introduced

4/26/2016

Primary Sponsor

Margaret O'Brien

Click for details

Origin

Senate

98th Legislature

AI Summary

  • Requires health insurers and HMOs in Michigan that provide pharmaceutical coverage to cover at least one abuse-deterrent opioid analgesic drug product per opioid ingredient.

  • Cost sharing for brand-name abuse-deterrent opioid products cannot exceed the lowest cost-sharing level for brand-name prescription drugs, and cost sharing for generic abuse-deterrent opioid products cannot exceed the lowest level for generic prescription drugs.

  • Prohibits insurers from increasing overall patient cost sharing or issuing prescriber disincentives to comply with coverage requirements.

  • Prohibits insurers from requiring patients to first use a non-abuse-deterrent opioid product before covering an abuse-deterrent alternative.

  • Allows insurers to apply utilization review requirements such as prior authorization to abuse-deterrent opioids if applied equally to all opioid products with the same drug release type (immediate or extended).

  • Takes effect 90 days after enactment.

Legislative Description

Insurance; health insurers; abuse-deterrent opioid analgesic drug; require coverage. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406u.

Insurance: health insurers

Last Action

Referred To Committee On Health Policy

4/26/2016

Committee Referrals

Health Policy4/26/2016

Full Bill Text

No bill text available