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MI HB5013

Bill

Status

Engrossed

11/13/2024

Primary Sponsor

Julie Rogers

Click for details

Origin

House of Representatives

102nd Legislature

AI Summary

  • Requires health insurance policies to cover a 12-month supply of prescription contraceptives dispensed at one time from network pharmacies, unless the insured requests a smaller supply or the prescriber specifies otherwise.

  • Mandates coverage for outpatient consultations, examinations, procedures, and medical services necessary to prescribe, dispense, deliver, distribute, administer, or remove prescription contraceptives if other prescription drugs are covered.

  • Allows insurers to apply standard copayments, deductibles, and coinsurance to contraceptive coverage but prohibits utilization controls or medical management that limits supply below 12 months unless the FDA determines such supply is medically inappropriate.

  • Exempts insurers from providing 12-month supply coverage during the one-month period before an insured's plan year ends.

  • Applies to health insurance policies delivered, executed, issued, amended, adjusted, or renewed in Michigan beginning December 31, 2025.

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. 3406z.

Insurance: health insurers

Last Action

Referred To Committee Of The Whole

12/12/2024

Committee Referrals

Health Policy11/26/2024
Health Policy9/19/2023

Full Bill Text

No bill text available