HB 5971 Michigan House · 2023-2024 Regular Session

Insurance: health benefits; health care benefits that require certain deductibles or copays; provide for certain restrictions on whether health care service can be listed as a health care benefit. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406jj.

This bill prohibits health insurance companies in Michigan from covering any medical service if the patient's required copayment or coinsurance exceeds 50% of the total cost. It applies to new policies starting after the law is passed and to existing policies when they are next renewed or changed. If an insurer includes such a high-cost service in a plan, they would be violating this rule, and the state insurance director is authorized to investigate complaints about these violations. The measure aims to ensure that patients do not face excessive out-of-pocket costs for services included in their health insurance coverage.
Bill status in committee 1 of 4 stages cleared
Introduction
Sep 2024
Committee Review
Floor Vote
Governor
Introduced Sep 26, 2024 Last action Oct 15, 2024
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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
Sep 26, 2024
Committee
referred to Committee on Insurance and Financial Services
lower
Sep 26, 2024
Introduced
introduced by Representative Julie M. Rogers
lower
1 primary · 19 co-sponsors

Sponsors