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MI SB0107
Bill
AI Summary
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Requires health insurers to cover immunization agents listed on CDC Immunization Schedules when administered by pharmacists at in-network pharmacies, effective January 1, 2026
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Mandates coverage for qualified laboratory tests ordered by pharmacists at in-network pharmacies
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Requires coverage for drugs dispensed by pharmacists under specified public health code provisions at in-network pharmacies
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Allows insurers to apply standard utilization management, prior authorization, and precertification requirements to the required coverage
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Permits insurers to apply standard cost-sharing provisions including deductibles, co-insurance, and co-pays to the mandated 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. 3406ss.
Insurance: health insurers
Last Action
Referred To Committee On Health Policy
4/22/2025