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MI HB6126

Bill

Status

Introduced

11/14/2024

Primary Sponsor

Will Snyder

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Origin

House of Representatives

102nd Legislature

AI Summary

  • 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.

  • Prohibits insurers from terminating coverage, refusing to issue or renew policies, or limiting visits for treatment of autism spectrum disorders.

  • 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.

  • 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.

  • 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

Committee Referrals

Insurance And Financial Services11/14/2024

Full Bill Text

No bill text available