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MI HB4683

Bill

Status

Introduced

6/25/2025

Primary Sponsor

Mike McFall

Click for details

Origin

House of Representatives

103rd Legislature

AI Summary

  • Expands mandatory health insurance coverage for substance use disorder to include inpatient care, in addition to the existing intermediate and outpatient care requirements

  • Adds mental health disorders to the mandatory coverage requirements alongside substance use disorder treatment

  • Requires that utilization review and clinical review criteria for mental health and substance use disorders adhere to generally accepted standards of care in those fields

  • Defines "medically necessary" treatment as services that align with generally accepted standards, are clinically appropriate in type/frequency/duration, and are not primarily for the insurer's economic benefit

  • Establishes that coverage terms and conditions for mental health and substance use disorder treatment cannot be less favorable than those for comparable medical services

Legislative Description

Insurance: health insurers; prior authorization requirements for mental health and substance use disorder; modify. Amends sec. 3425 of 1956 PA 218 (MCL 500.3425).

Insurance: health insurers

Last Action

Bill Electronically Reproduced 06/25/2025

6/26/2025

Committee Referrals

Insurance6/25/2025

Full Bill Text

No bill text available