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MI HB4496
Bill
Status
5/15/2025
Primary Sponsor
Julie Rogers
Click for details
AI Summary
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Requires health insurance policies that cover prescription contraceptives to provide coverage for a 12-month supply dispensed at one time from an in-network pharmacy, unless the insured requests or prescriber instructs a smaller supply
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Mandates coverage for outpatient consultations, examinations, procedures, and medical services necessary to prescribe, dispense, administer, or remove prescription contraceptives
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Prohibits insurers from imposing utilization controls or medical management that limits contraceptive supply to less than 12 months, unless the FDA determines a 12-month supply is medically inappropriate
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Allows insurers to apply standard cost-sharing provisions (copayments, deductibles, coinsurance) that apply equally to other covered prescription drugs
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Applies to health insurance policies delivered, issued, amended, or renewed beginning December 31, 2025
Legislative Description
Insurance: health insurers; coverage for the dispensing of a 12-month supply of birth control; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406jj.
Insurance: health insurers
Last Action
Bill Electronically Reproduced 05/15/2025
5/20/2025