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MI HB6519

Bill

Status

Introduced

12/16/2020

Primary Sponsor

Kristy Pagan

Click for details

Origin

House of Representatives

100th Legislature

AI Summary

  • 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.

  • 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.

  • Requires insurers to cover any prescription contraceptive determined medically necessary by the insured's prescriber.

  • 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.

  • 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

Committee Referrals

Insurance12/16/2020

Full Bill Text

No bill text available