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MI SB0135
Bill
AI Summary
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Exempts retiree-only health insurance coverage from several insurance code requirements, including dependent coverage mandates, prohibitions on lifetime/annual dollar limits, essential health benefit requirements, and mental health parity provisions
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Exempts "non-grandfathered health plan coverage" (transitional plans with extended compliance timelines under the Affordable Care Act) from essential health benefit requirements until the Centers for Medicare and Medicaid Services requires full ACA compliance
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Adds short-term or limited duration policies (not longer than 6 months) to the list of coverage types exempt from preexisting condition exclusion prohibitions
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Clarifies that hospital confinement indemnity coverage exempted from preexisting condition rules includes "other fixed indemnity" as defined in federal regulations (45 CFR 148.220(b)(4))
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Makes technical corrections changing "treatment limits" to "treatment limitations" in mental health parity provisions regarding prescription drug and network tier classifications
Legislative Description
Insurance: health insurers; compliance with affordable care act coverage; modify. Amends secs. 3403, 3406z, 3406bb & 3406ii of 1956 PA 218 (MCL 500.3403 et seq.).
Insurance: health insurers
Last Action
Referred To Committee On Health Policy
4/17/2025