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MI SB0281
Bill
AI Summary
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Allows contracting entities to grant third-party access to provider network contracts and dental services discounts if providers are given the choice to opt out at contract entry, renewal, or material modification without penalty.
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Requires contracting entities to explicitly state third-party access provisions in provider network contracts, identify all third parties in writing, and maintain an updated list on their website refreshed at least every 30 days.
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Mandates third parties identify the discount source on remittance advices, requires 30-day notice of contract terminations, and allows providers to access copies of their contracts within 30 days of request.
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Exempts dental carriers, affiliated entities, and government-sponsored health programs (Medicaid, CHIP, Medicare Advantage) from third-party access requirements.
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Effective immediately upon Governor's approval on October 19, 2023.
Legislative Description
Insurance: health insurers; granting third party access to a dental network contract; allow. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406aa.
Insurance: health insurers
Last Action
Assigned Pa 0168'23 With Immediate Effect
10/24/2023