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MI HB5970

Bill

Status

Introduced

9/26/2024

Primary Sponsor

Samantha Steckloff

Click for details

Origin

House of Representatives

102nd Legislature

AI Summary

  • Adds pharmacogenomic testing as a covered medical service under Michigan's social welfare act for eligible individuals, when ordered by a treating prescriber and supported by medical and scientific evidence.

  • Pharmacogenomic testing covers laboratorial genetic testing to identify how an individual's genetics impact medication efficacy, safety, and toxicity for behavioral/mental health, cardiovascular, gastrointestinal, hematologic, infectious, neurological, oncological, urological disease, and pain management.

  • Department shall establish coverage standards for pharmacogenomic testing in accordance with Centers for Medicare and Medicaid Services guidance, including coverage supported by Medicare determinations, national coverage determinations, clinical practice guidelines, FDA drug label warnings, or FDA-indicated tests.

  • Defines "treating prescriber" as physicians, physician's assistants, advanced practice registered nurses, or other licensed health professionals with prescriptive authority who intend to use testing results for patient treatment or medication management optimization.

  • Makes technical corrections throughout the statute, including grammatical changes and updates to federal statute references (Title XIX citation updated to 42 USC 1396w-8).

Legislative Description

Human services: medical services; coverage for pharmacogenomic testing; provide to eligible individuals under the social welfare act. Amends sec. 109 of 1939 PA 280 (MCL 400.109).

Human services: medical services

Last Action

Bill Electronically Reproduced 10/15/2024

10/15/2024

Committee Referrals

Insurance And Financial Services9/26/2024

Full Bill Text

No bill text available