MI HB6154

Health insurers delivering or renewing policies in Michigan must provide coverage for medically necessary treatment related to acquired brain injury.

Insurers cannot impose lifetime limitations or unreasonable annual limitations on the number of days for acute and postacute care related to acquired brain injury treatment.

"Acquired brain injury" includes injuries occurring after birth caused by infectious diseases, metabolic disorders, endocrine disorders, diminished oxygen, brain tumors, toxins, blood supply disease, stroke, or traumatic brain injury.

Covered treatments include cognitive communication therapy, cognitive rehabilitation therapy, community reintegration services, functional rehabilitation therapy, neurobehavioral therapy, neurocognitive therapy, neurofeedback therapy, neuropsychological testing, psychophysiological testing and treatment, and postacute residential treatment.

Defines "medical necessity" as health care services consistent with generally accepted principles of professional medical practice.