An Act Requiring Health Insurance Coverage For Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections And Pediatric Acute-onset Neuropsychiatric Syndrome.
Impact
The introduction of this bill is likely to expand access to essential medical therapies for children suffering from these specific disorders. By requiring coverage for a defined set of treatments, the bill intends to alleviate the financial burden on families dealing with the healthcare needs of children impacted by these conditions. This legislative change would also align insurance policies with the needs of pediatric patients, potentially improving health outcomes for affected children.
Summary
House Bill 05144 aims to mandate health insurance coverage for pediatric autoimmune neuropsychiatric disorders that are associated with streptococcal infections as well as pediatric acute-onset neuropsychiatric syndrome. The bill specifies that all individual and group health insurance policies that are issued or renewed on or after January 1, 2021, must provide this coverage. This includes not only the diagnosis but also the range of treatments, such as intravenous immunoglobulin therapy and cognitive behavioral therapy.
Contention
While the bill received substantial support during discussions, it has also opened up dialogues regarding the extent of services that should be covered under health insurance. Some stakeholders argue for broader inclusivity in mental health coverage, while others express concerns about the implications for insurance premiums and overall health system sustainability. This highlights a fundamental debate within healthcare policy around coverage requirements, especially concerning specialized treatments that may involve newer or less well-established therapies.
An Act Prohibiting Certain Health Carriers From Requiring Step Therapy For Prescription Drugs Used To Treat A Mental Or Behavioral Health Condition Or A Chronic, Disabling Or Life-threatening Condition.
An Act Concerning Insurance Market Conduct And Insurance Licensing, The Insurance Department's Technical Corrections And Other Revisions To The Insurance Statutes And Captive Insurance.
Insurance: insurers; coverage for certain pediatric autoimmune neuropsychiatric disorders; require. Amends 1956 of 218 (MCL 500.100 - 500.8302) by adding sec. 3406pp.
Insurance: insurers; coverage for certain pediatric autoimmune neuropsychiatric disorders; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406pp.
Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
Extends coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome by removing the sunset date of December 31, 2025, and mandating such coverage.