Insurance: insurers; coverage for certain pediatric autoimmune neuropsychiatric disorders; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406pp.
Take action
Record your position on this measure.
Create an account to take a stance, submit a written position, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Overview
This bill requires Michigan health insurance policies to cover the diagnosis, treatment, and prophylaxis of specific pediatric autoimmune neuropsychiatric disorders, including pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. It ensures equal copayment, deductible, and coinsurance rates for these treatments and prohibits denial of coverage based on prior treatment or diagnosis. The bill also emphasizes adherence to evidence-based treatment guidelines developed by medical professional consortia and establishes specific coding standards for billing and diagnosis.
Key provisions
- Requires health insurance policies to cover treatments for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
- Ensures equal copayment, deductible, and coinsurance rates for these treatments.
- Mandates timely authorization for treatment and prioritizes urgent care standards.
- Prohibits denial of coverage based on prior treatment or diagnosis.
- Requires insurers to follow treatment recommendations from medical professional consortia.
- Establishes specific coding standards for billing and diagnosis.
- Specifies a timeframe for applying the changes to existing policies.
- Addresses the use of intravenous immunoglobulin therapy.
Who is affected
- Health insurance companies
Bill text
Read the latest version inline or switch to a previous version.
Document of record
- Version
- Senate Introduced Bill
- Published
- Not published in the source record
This version is published only as a document. Open the viewer to read it here, or download the file.
Sponsors
Official sponsors from legislative records.
No sponsors are on record.
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours