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MI HB6519
Bill
Status
12/16/2020
Primary Sponsor
Kristy Pagan
Click for details
AI Summary
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Requires health insurance policies covering prescription contraceptives to include coverage for a 12-month supply dispensed at one time, unless the insured or prescriber requests a smaller amount.
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Mandates coverage for outpatient consultations, examinations, procedures, and medical services necessary to prescribe, dispense, deliver, administer, or remove prescription contraceptives if other prescription drugs are covered.
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Requires insurers to cover any prescription contraceptive determined medically necessary by the insured's prescriber.
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Prohibits insurers from imposing utilization controls or medical management limits that reduce the 12-month supply unless clinical trials determine a smaller supply is medically appropriate.
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Applies to health insurance policies delivered, issued, amended, or renewed in Michigan beginning 90 days after enactment, with definitions of "pharmacy," "prescriber," and "prescription contraceptive" tied to Michigan's public health code.
Legislative Description
Insurance: health insurers; coverage for the dispensing of a 12-month supply of birth control; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406v.
Insurance: health insurers
Last Action
Bill Electronically Reproduced 12/17/2020
12/17/2020