Human services: medical services; Medicaid managed care contract with pharmacy benefit manager; regulate, and require reporting.

House Bill 4409 would create a new act, the Drug Manufacturer Data Reporting Act, which would require drug manufacturers to disclose certain information on costs and pricing to the Department of Insurance and Financial Services (DIFS) on an annual basis. The reports and information would be exempt from disclosure under the Freedom of Information Act (FOIA). DIFS could promulgate rules to implement the act

House Bill 4434 would amend the Insurance Code to require an insurer that delivers, issues for delivery, or renews in Michigan a health insurance policy that provides coverage for prescription drugs to provide coverage for up to a 90-day supply of any covered maintenance prescription drug, defined as a prescription drug that meets all of the following: • It is covered by the policy, certificate, or contract. • It is used for the management and treatment of a chronic long-term care condition and has authorized refills that remain available. • Except for anti-epileptic prescription drugs, it is not a Schedule 2 to 5 controlled substance.

Insurance: health benefits; application of amount paid by the insured or other certain parties when calculating the insured’s co-pay for a prescription drug; require under certain conditions. 

Health: pharmaceuticals; insulin production program; establish.

Health: other; surprise medical billing; modify to include certain emergency medical services operations and personnel.

Health facilities: certificate of need; cone-beam tomography equipment; eliminate from definition of a covered clinical service under certain circumstances.

A bill to provide for the establishment of a universal and unified health care system and to reform the current payment system for health care coverage in this state; to create certain boards and committees and prescribe their powers and duties; to provide for the powers and duties of certain state and local governmental officers and agencies; to establish a fund; to provide for the promulgation of rules; and to prescribe penalties and provide remedies.

Senate Bill 356 (S-2) would amend Section 2212a of the Insurance Code to require insurers to provide to a consumer a summary of a health insurance policy that contained specified information, such as information that a consumer could use to compare health coverage and understand the terms of the consumer’s coverage.

Senate Bill 357 (S-3) would amend Section 2213b and add Section 2213e to the Insurance Code to prohibit an insurer from rescinding coverage unless the insured individual committed fraud or made an intentional misrepresentation of material fact.