2014 Senate Bill 1033 / Public Act 522

Clarify ”direct primary care” and “concierge medicine” are not “insurance”

Introduced in the Senate

Sept. 9, 2014

Introduced by Sen. Patrick Colbeck (R-7)

To establish that fixed-fee medical retainer agreements between a physician and a potential patient covering routine health care services are not considered “insurance” subject to the extensive regulatory regime imposed on conventional health insurance policies. This could presumably apply to <a href="http://www.forbes.com/sites/davechase/2013/07/06/health-plan-rorschach-test-direct-primary-care/">”direct primary care” agreements</a>, “concierge medicine” and similar innovations.

Referred to the Committee on Insurance

Sept. 30, 2014

Reported without amendment

With the recommendation that the bill pass.

Received in the House

Oct. 6, 2014

Referred to the Committee on Insurance

In the Senate

Nov. 6, 2014

Passed in the Senate 26 to 11 (details)

In the House

Dec. 16, 2014

Reported without amendment

With the recommendation that the substitute (H-4) be adopted and that the bill then pass.

Dec. 18, 2014

Passed in the House 60 to 50 (details)

To establish that fixed-fee medical retainer agreements between a physician and a potential patient covering routine health care services are not considered “insurance” subject to the extensive regulatory regime imposed on conventional health insurance policies. This could presumably apply to <a href="http://www.forbes.com/sites/davechase/2013/07/06/health-plan-rorschach-test-direct-primary-care/">”direct primary care” agreements</a>, “concierge medicine” and similar innovations.

Received in the Senate

Dec. 18, 2014

Passed in the Senate 26 to 12 (details)

To concur with the House-passed version of the bill.

Signed by Gov. Rick Snyder

Dec. 31, 2014