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MI SB0027

Bill

Status

Passed

5/22/2024

Primary Sponsor

Sarah Anthony

Click for details

Origin

Senate

102nd Legislature

AI Summary

  • Requires health insurers delivering or renewing policies in Michigan to provide coverage for mental health and substance use disorder services with financial requirements and treatment limitations no more restrictive than those applied to medical/surgical benefits

  • Prohibits separate cumulative financial requirements (deductibles, copayments, coinsurance, out-of-pocket maximums) that apply only to mental health or substance use disorder benefits within the same classification

  • Mandates that nonquantitative treatment limitations on behavioral health benefits use comparable processes and evidentiary standards as those applied to medical/surgical benefits and be applied no more stringently

  • Allows insurers to establish separate provider network tiers and prescription drug benefit tiers based on reasonable factors, provided mental health and substance use disorder benefits are not subject to more restrictive requirements than medical/surgical benefits within each tier

  • Requires compliance with federal parity requirements under 42 USC 300gg-26 and applicable federal regulations, with federal standards superseding state requirements if more stringent

Legislative Description

Insurance: health insurers; equitable coverage for behavioral health and substance use disorder treatment; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406hh.

Insurance: health insurers

Last Action

Assigned Pa 0041'24

5/22/2024

Committee Referrals

Insurance And Financial Services10/18/2023
Health Policy1/18/2023

Full Bill Text

No bill text available