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MI HB4028
Bill
Status
1/27/2021
Primary Sponsor
Michele Hoitenga
Click for details
AI Summary
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Amends the Michigan Insurance Code of 1956 to modify section 2212d regarding health insurance claims payment requirements.
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Prohibits insurers delivering or renewing health insurance policies from requiring national or regional physician certifications as a sole condition for claim payment or reimbursement.
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Removes prior restrictions limiting this prohibition to allopathic or osteopathic physicians in family practice, internal medicine, or pediatrics.
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Clarifies that insurers cannot impose certification requirements unless those certifications are specifically mandated by state licensure law under the Public Health Code.
Legislative Description
Insurance: health benefits; insurer requiring physicians to hold certain certifications before paying or reimbursing claims; prohibit unless specifically required for licensure. Amends sec. 2212d of 1956 PA 218 (MCL 500.2212d).
State agencies (existing): insurance and financial services
Last Action
Bill Electronically Reproduced 01/27/2021
1/28/2021