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MI SB1007
Bill
AI Summary
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Creates the autism coverage fund within the state treasury to reimburse carriers and third party administrators for approved autism coverage claims.
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Requires the state treasurer to invest fund assets and credit interest earnings back to the fund, with the department administering it for auditing purposes.
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Reimburses carriers and third party administrators in the order applications are approved, with no reimbursement if insufficient funds exist, though approved but unpaid applications may be paid if funds become available later.
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Requires the department to notify carriers, third party administrators, and the legislature when funds may be insufficient within 60 days, and to establish clear processes for payment order and future claim payment if funds become available.
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Establishes a special 2016 reimbursement formula dividing appropriated calendar year 2016 funds by total approved claims meeting specified conditions (application before May 1, 2016; services before January 1, 2016; approval before August 1, 2016), then allocating proportionally to each carrier or administrator.
Legislative Description
Insurance; health insurers; autism coverage fund reimbursement formula; modify. Amends sec. 7 of 2012 PA 101 (MCL 550.1837).
State agencies (existing): insurance and financial services
Last Action
Assigned Pa 0310'16 With Immediate Effect
10/18/2016