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MI HB6126
Bill
Status
11/14/2024
Primary Sponsor
Will Snyder
Click for details
AI Summary
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Removes age and annual benefit limits on autism spectrum disorder coverage, eliminating previous caps of $50,000 for ages 0-6, $40,000 for ages 7-12, and $30,000 for ages 13-18.
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Prohibits insurers from terminating coverage, refusing to issue or renew policies, or limiting visits for treatment of autism spectrum disorders.
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Requires coverage for diagnosis and evidence-based treatment of autism spectrum disorders including behavioral health treatment, pharmacy care, psychiatric care, psychological care, and therapeutic care.
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Prohibits insurers from denying coverage based on treatment being educational or habilitative in nature, or from applying higher dollar limits, copays, deductibles, or coinsurance than for physical illness.
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Allows insurers to require treatment reviews, request diagnostic observation schedules (no more than once every 3 years), and require annual developmental evaluations as conditions for providing coverage.
Legislative Description
Insurance: health insurers; required coverage for autism spectrum disorders; modify. Amends sec. 3406s of 1956 PA 128 (MCL 500.3406s).
Insurance: health insurers
Last Action
Bill Electronically Reproduced 11/26/2024
11/26/2024