MI HB4353

Requires health insurance policies issued or renewed after December 31, 2022 to count any amounts paid by the insured or third parties toward the insured's out-of-pocket maximum and cost-sharing requirements for prescription drug coverage.

Defines "cost-sharing requirement" as copayments, coinsurance, deductibles, or annual limitations on cost sharing required to receive covered health care services or prescription drugs.

Excludes drugs with AB-rated generic equivalents from coverage unless the insured obtains access through prior authorization, step therapy protocols, or the insurer's exception process.

Subordinates the provision to federal law, with federal law prevailing in case of conflict.

Effective only if Senate Bill No. ____ or House Bill No. 4350 (request no. 00168'21) of the 101st Legislature is enacted into law.