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MI SB0993
Bill
Status
12/11/2024
Primary Sponsor
Sylvia Santana
Click for details
AI Summary
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Requires health insurers delivering or renewing policies in Michigan to cover immunizing agents administered by pharmacists beginning January 1, 2026, if the agents are listed on the CDC Immunization Schedules and provided at in-network pharmacies.
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Mandates coverage for qualified laboratory tests ordered by pharmacists under MCL 333.17724a at in-network pharmacies.
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Mandates coverage for drugs dispensed by pharmacists under MCL 333.17724a at in-network pharmacies.
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Permits insurers to apply utilization management, prior authorization, and precertification requirements to the coverage mandated in this section.
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Allows insurers to impose applicable cost-sharing such as deductibles, co-insurance, and co-payments on the required coverage.
Legislative Description
Insurance: health insurers; coverage for immunization agents and certain laboratory tests administered and ordered by a pharmacist; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406kk.
Insurance: health insurers
Last Action
Placed On Second Reading
12/11/2024