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MI HB4685

Bill

Status

Introduced

6/25/2025

Primary Sponsor

Mike McFall

Click for details

Origin

House of Representatives

103rd Legislature

AI Summary

  • Requires health insurers providing mental health and substance use disorder benefits to reimburse for services delivered through the psychiatric collaborative care model

  • Mandates coverage of specific Current Procedural Terminology (CPT) billing codes: 90844, 99492, 99493, 99494, and G2214

  • Authorizes the director to update the list of required billing codes if the American Medical Association alters or adds codes for the psychiatric collaborative care model

  • Permits insurers to deny reimbursement based on medical necessity determinations, provided they comply with the federal Mental Health Parity and Addiction Equity Act of 2008 and state utilization review requirements

  • Defines "psychiatric collaborative care model" as the evidence-based, integrated behavioral health service delivery method described in federal regulations (81 FR 80230)

Legislative Description

Insurance: health insurers; collaborative care model for mental health care; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406uu.

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