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.
Impact
The bill impacts existing state laws by establishing a clear requirement for insurers regarding the coverage of specific non-opioid medications, which could enhance patient access to alternative pain management options. The legislation is designed to empower patients by forcing insurers to add these drugs to their formulary without the option to delay coverage through extensive reviews. Insurers are required to include newly FDA-approved non-opioid analgesics within 90 days, promoting quicker access to necessary treatments.
Summary
Senate Bill 552 aims to amend the Michigan insurance code of 1956 by requiring health insurers to cover non-opioid analgesic drugs prescribed for the treatment or management of pain. Specifically, it mandates that any health insurance policy providing prescription drug coverage must include these non-opioid drugs on their preferred drug list or formulary. This change is driven by the increasing concerns over opioid prescriptions and the search for effective alternatives for pain management.
Contention
Notable points of contention surrounding SB 552 may arise regarding the balance between insurer flexibility and patient access. There could be concerns from insurers about the administrative challenges associated with modifying drug formularies under the new requirements. Additionally, some stakeholders might argue that the bill could inadvertently lead to challenges in cost management for insurers, as the requirement to quickly add drugs could influence premium rates. Advocates, on the other hand, will likely focus on the bill's role in combating the opioid crisis and promoting safer pain management practices.
Insurance: health insurers; compliance with affordable care act coverage; modify. Amends secs. 3403, 3406z, 3406bb, 3406hh & 3406ii of 1956 PA 218 (MCL 500.3403 et seq.).
Insurance: health insurers; compliance with affordable care act coverage; modify. Amends secs. 3403, 3406z, 3406bb & 3406ii of 1956 PA 218 (MCL 500.3403 et seq.).
Insurance: health insurers; coverage for the dispensing of a 12-month supply of birth control; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406jj.
Insurance: health insurers; coverage for gynecological and perinatal services; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406cc.