HB 5972 Michigan House · 2023-2024 Regular Session

Insurance: third-party administrators; health care benefits that require certain deductibles or copays; provide for certain restrictions. Amends 1984 PA 218 (MCL 550.901 - 550.960) by adding sec. 33.

This bill restricts third-party administrators from creating contracts for health plans that require individuals to pay more than 50% of the cost for specific medical services through copayments or coinsurance. It directly affects insurance companies, healthcare providers, and individuals enrolled in these benefit plans by setting a new financial limit on out-of-pocket costs for covered care. The law gives the state insurance director the authority to investigate and rule on any complaints related to these new restrictions. These rules will apply to new contracts immediately after the bill passes and to existing contracts when they are next renewed or modified.
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

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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 Felicia Brabec
lower
1 primary · 19 co-sponsors

Sponsors