HOUSE BILL NO. 5431

January 30, 2020, Introduced by Reps. Koleszar, Hoadley, Brixie, Sneller, Clemente, Stone, Liberati, Sabo, Cherry, Manoogian, Kuppa, Sowerby, Cynthia Johnson, Garza, Hood, Yancey, Bolden, Wittenberg, Chirkun, Shannon, Haadsma, Tate, Hope, Greig, Guerra, Garrett, Witwer, Lasinski, Brenda Carter, Pohutsky, Whitsett, Ellison, Warren, Peterson and Jones and referred to the Committee on Insurance.

A bill to amend 1956 PA 218, entitled

"The insurance code of 1956,"

(MCL 500.100 to 500.8302) by adding section 3406w.

the people of the state of michigan enact:

Sec. 3406w. (1) An insurer that delivers, issues for delivery, or renews in this state a health insurance policy shall provide coverage for all of the following:

(a) Ambulatory patient services.

(b) Emergency services.

(c) Hospitalization.

(d) Pregnancy, maternity, and newborn care.

(e) Mental health and substance use disorder services, including behavioral health treatment.

(f) Prescription drugs.

(g) Rehabilitative and habilitative services and devices.

(h) Laboratory services.

(i) Preventive and wellness services and chronic disease management, including, but not limited to, all of the following:

(i) Evidence-based items or services that have in effect a rating of "A" or "B" in the current recommendations of the United States Preventive Services Task Force.

(ii) Immunizations that have in effect a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individual involved.

(iii) With respect to infants, children, and adolescents, evidence-informed preventive care and screenings provided for in the comprehensive guidelines supported by the Health Resources and Services Administration.

(iv) With respect to women, additional preventive care and screenings not described in subparagraph (i) as provided for in comprehensive guidelines supported by the Health Resources and Services Administration.

(j) Pediatric services, including oral and vision care.

(2) Benefits provided under subsection (1) are subject to all requirements applicable to those benefits under this chapter.

(3) This section does not limit the requirements to provide additional benefits under this chapter.