Insurance: health insurers; coverage for treatment of menopause and perimenopause symptoms and waiver of prior authorization for prescription drugs or treatments for menopause and perimenopause symptoms; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406zz.
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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 medically necessary care and treatment for menopause and perimenopause symptoms, including hormone replacement therapy. It also prohibits insurers from requiring prior authorization or step therapy for medications used to treat these conditions. The bill aims to ensure equitable access to treatment for individuals experiencing these hormonal transitions.
Key provisions
- Requires health insurers to cover medically necessary care and treatment for menopause and perimenopause.
- Prohibits prior authorization requirements for medications used to treat menopause and perimenopause symptoms.
- Specifies definitions of ‘menopause’ and ‘perimenopause’ for clarity.
- Relates to existing insurance regulations under MCL 500.100 - 500.8302.
Who is affected
- Health insurers in Michigan
- Individuals experiencing menopause or perimenopause
- Patients receiving treatment for menopause and perimenopause symptoms
Notable changes
- Introduces specific coverage requirements for menopause and perimenopause treatments.
- Removes barriers to accessing medication for these conditions by eliminating prior authorization requirements.
Bill text
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- Senate Introduced Bill
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