Michigan 2023-2024 Regular Session

Michigan House Bill HB4015

Introduced
1/12/23  
Refer
1/12/23  

Caption

Insurance: health insurers; limit amount on co-pay for prescription insulin; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z.

Impact

If enacted, this bill will have significant implications for health insurance policies within the state. It mandates that insurers either delivering or renewing health policies that cover insulin must comply with this cap. This aims to create a more equitable cost structure for patients, ensuring that insulin remains affordable, irrespective of the rising prices that often accompany these vital medications. The amendment will apply not only to policies issued in-state but also to those covering Michigan residents from out-of-state insurers, enhancing its reach and potential impact.

Summary

House Bill 4015 is designed to amend the 1956 PA 218, specifically addressing the coverage of prescription insulin drugs by health insurers in Michigan. The bill introduces a cap on the amount that residents must pay for prescription insulin, limiting it to no more than $50 for each 30-day supply. This legislative effort directly responds to the rising costs of insulin and aims to alleviate the financial burden placed on diabetes patients who rely on this essential medication.

Contention

Notable points of contention surrounding HB 4015 may include the concerns from insurance providers regarding the financial implications of such a cap. Some insurers may argue that setting a maximum co-pay could affect their ability to manage costs associated with drug coverage effectively. Additionally, while supporters of the bill champion the accessibility and affordability it aims to provide, there could be debates on the pressure this might place on insurers and whether it might lead to raised premiums elsewhere. Thus, the discussions around this bill will likely center on balancing affordability for patients and the operational capabilities of health insurers.

Companion Bills

No companion bills found.

Previously Filed As

MI HB5013

Insurance: health insurers; coverage for the dispensing of a 12-month supply of birth control; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z.

MI HB4434

Insurance: health insurers; coverage for dispensing a 90-day refill for maintenance prescription drug; require of health insurers. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z.

MI HB4071

Insurance: health insurers; coverage for orally administered anticancer chemotherapy; provide equal treatment for. Amends 1956 PA 218 (MCL 500.100 -500.8302) by adding sec. 3406ff.

MI HB5340

Insurance: health insurers; coverage of for PrEP and PEP prescriptions; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406dd.

MI HB4719

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. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z.

MI HB4496

Insurance: health insurers; coverage for the dispensing of a 12-month supply of birth control; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406jj.

MI HB5076

Insurance: health insurers; coverage for amino acid-based elemental formula; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z.

MI SB0484

Insurance: health insurers; compliance with the prescription drug cost and affordability review act; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z. TIE BAR WITH: SB 0483'23

MI HB5435

Insurance: health insurers; coverage for pharmacist prescribing hormonal contraceptives; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406tt.

MI HB4622

Insurance: health insurers; annual and lifetime dollar limits; prohibit. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z. TIE BAR WITH: HB 4623'23

Similar Bills

No similar bills found.