HB 4623 – MichiganStatus: In Process
Year Introduced: 2023
House Bill 4623 would require an insurer that delivers, issues for delivery, or renews a health insurance policy in the individual or small group market in Michigan to provide coverage for all of the following: • Ambulatory patient services. • Emergency services. • Hospitalization. • Pregnancy, maternity, and newborn care. • Mental health and substance use disorder services, including behavioral health treatment. House Fiscal Agency HBs 4619 to 4623 as passed by the House Page 3 of 5 • Prescription drugs. • Rehabilitative and habilitative services and devices. • Laboratory services. • Pediatric services, including oral and vision care. Pediatric oral care would not be required if the insured has dental insurance from another source and provides evidence of coverage to the insurer. • Preventive and wellness services and chronic disease management services identified by the director of the Department of Insurance and Financial Services (DIFS) as meeting one of the following requirements: o Evidence-based items or services if the United States Preventative Services Task Force has rated the item or service as “A” or “B” for the purposes of its recommendations currently in effect with respect to the individual involved. o For women, preventive care and screening not described immediately above if the United States Health Resources and Services Administration has included the care or screening for the purposes of its guidelines. o An immunization with routine use in children, adolescents, and adults if the Advisory Committee on Immunization Practices of the United States Centers for Disease Control and Prevention (CDC) has included the immunization for the purposes of its recommendations with respect to the individual involved. o For infants, children, and adolescents, evidence-informed preventive care and screenings if the United States Health Resources and Services Administration has included the care or screening for the purposes of its guidelines.
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