Insurance: health insurers; coverage for a nonopioid analgesic drug for pain treatment; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ll.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Overview
This bill requires Michigan health insurers to cover non-opioid analgesic drugs used for pain treatment. Insurers must include these drugs on their preferred drug lists or formularies within 90 days of FDA approval and making them available for sale. The bill also aims to prevent insurers from unfairly discouraging coverage of these alternative pain medications compared to opioid drugs.
Key provisions
- Health insurers must cover non-opioid analgesic drugs for pain treatment.
- Insurers must add qualifying drugs to their preferred drug lists within 90 days of FDA approval.
- Insurers cannot disadvantage non-opioid drugs compared to opioids on their formularies.
- Insurers can still prefer opioids over other opioids or other non-opioid drugs.
- The bill amends the Insurance Code (MCL 500.100 - 500.8302).
Who is affected
- Health insurers
- Patients receiving pain treatment
- Healthcare providers
- Pharmaceutical companies
Notable changes
- Requires coverage of non-opioid analgesics for pain management.
- Establishes a timeline for insurers to include these drugs on formularies.
- Prohibits discriminatory practices in formularies regarding non-opioid drugs.
Bill text
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- Senate Introduced Bill
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