A bill to amend 1956 PA 218, entitled “The insurance code of 1956,” by amending section 3157 (MCL 500.3157), as amended by 2019 PA 21.
This bill seeks to regulate charges for treatment or rehabilitative occupational training for individuals with accidental bodily injuries covered by personal protection insurance, setting limits tied to Medicare rates. From July 1, 2023, the cap is 190% of the Medicare rate generally, with up to 220% for certain providers that meet specific criteria, such as significant indigent volume or being a designated freestanding rehabilitation facility. Providers offering over 30% of their total treatment or training as described can receive 250% of the Medicare rate. For level I or II trauma centers treating emergency conditions before patient stabilization, the cap after July 1, 2023, is 230%. If Medicare does not cover a treatment, payments are limited to a percentage of the provider's 2019 rates, with specific percentages applied based on the treatment date.
Co-sponsored by Reps.
Referred to the Committee on Insurance and Financial Services
