2023 House Bill 4719

Insurance: health benefits; application of amount paid by the insured or other certain parties when calculating the insured’s co-pay for a prescription drug; require under certain conditions.

A bill to amend 1956 PA 218, entitled “The insurance code of 1956,” (MCL 500.100 to 500.8302) by adding section 3406z.

Official record

AI Analysis – Experimental

Mandates that health insurance policies in Michigan, excluding high deductible health plans, must count any payments made by or on behalf of the enrollee towards their out-of-pocket maximums or cost-sharing requirements. For high deductible health plans, payments made by or on behalf of the enrollee can be counted towards these limits, but with stipulations to ensure compliance with health savings account eligibility under the Internal Revenue Code.

Introduced in the House

June 8, 2023

Introduced by Rep. Carrie Rheingans (D-47) and 29 co-sponsors

Co-sponsored by Reps. Reggie Miller (D-31), Erin Byrnes (D-15), Veronica Paiz (D-11), Penelope Tsernoglou (D-75), Joey Andrews (D-38), Dylan Wegela (D-26), Sharon MacDonell (D-56), Betsy Coffia (D-103), Felicia Brabec (D-33), Brenda Carter (D-53), Laurie Pohutsky (D-17), Jason Hoskins (D-18), Jaime Churches (D-27), Jasper Martus (D-69), Jimmie Wilson (D-32), Samantha Steckloff (D-19), Jennifer Conlin (D-48), Kara Hope (D-74), Jenn Hill (D-109), Robert Bezotte (R-50), Pat Outman (R-91), David Martin (R-68), Regina Weiss (D-6), Jason Morgan (D-23), Kimberly Edwards (D-12), Christine Morse (D-40), Jim Haadsma (D-44), Alabas Farhat (D-3) and Abraham Aiyash (D-9)

Referred to the Committee on Insurance and Financial Services