A bill to amend 1956 PA 218, entitled “The insurance code of 1956,” by amending sections 2212e and 3425 (MCL 500.2212e and 500.3425), section 2212e as added by 2022 PA 60 and section 3425 as amended by 2016 PA 276.
House Bill 4707 would amend the Insurance Code to require health insurers in Michigan to provide coverage for medically necessary treatment of a mental health or substance abuse disorder. The bill would set requirements for coverage of out-of-network services and emergency services, as well as requirements related to prior authorization, utilization review, and the determination of level of care for insured individuals. The bill states that it would not apply to any entity or contracting provider that performs utilization review (defined as below) or utilization management functions on an insurer’s behalf.
Co-sponsored by Reps.
Referred to the Committee on Insurance and Financial Services
Reported without amendment
