Insurance: no-fault; utilization reviews; require compliance with decision on appeal. Amends sec. 3157a of 1956 PA 218 (MCL 500.3157a).
Impact
The amendments proposed in SB 547 introduce clearer criteria for utilization reviews, which will assist in identifying instances of over-utilization of treatments or services based on accepted medical standards. This regulation aims to improve compliance and standardize practices across healthcare providers in the state, thereby addressing concerns regarding the quality and appropriateness of care provided to patients. The bill also includes penalties for those who submit false or misleading information, reinforcing accountability within the healthcare system.
Summary
Senate Bill 547 aims to amend the Insurance Code of 1956 by modifying section 3157a, focusing on how treatment and services for accidental bodily injuries covered under personal protection insurance are handled. The bill establishes that healthcare providers, including physicians and hospitals, are required to submit necessary records and comply with decisions made by the department regarding utilization reviews. This compliance is mandatory for any treatment or services provided after July 1, 2020, creating a structured protocol for managing records related to insurance claims.
Contention
Points of contention surrounding this bill likely revolve around the balance of regulations imposed on healthcare providers versus their autonomy in treatment decisions. Critics may argue that stringent compliance requirements could hinder medical professionals' ability to make timely decisions based on individual patient needs. Additionally, there may be concerns over the potential administrative burden that could arise from increased documentation and the risk of patients facing delays in receiving necessary treatments while awaiting utilization review approvals.
Insurance: no-fault; choice of either an independent medical exam or a utilization review; require. Amends secs. 3151 & 3157a of 1956 PA 218 (MCL 500.3151 & 500.3157a).
Insurance: no-fault; treatment and service for injuries; revise standards and procedures for utilization reviews. Amends sec. 3157a of 1956 PA 218 (MCL 500.3157a).
Insurance: no-fault; treatment and services for injuries; revise limitations on charges. Amends sec. 3157 of 1956 PA 218 (MCL 500.3157). TIE BAR WITH: SB 0531'23
Insurance: no-fault; cross-reference to amended section of the insurance code; revise. Amends sec. 2111f of 1956 PA 218 (MCL 500.2111f). TIE BAR WITH: SB 0530'23
Insurance: no-fault; penalties for lapse of insurance policy; provide waiver for certain individuals. Amends secs. 2118 & 2120 of 1956 PA 218 (MCL 500.2118 & 500.2120) & adds sec. 2116c.
Insurance: no-fault; independent medical examinations; create an oversight board and provide for the appointment of independent examiners. Amends secs. 3151 & 3153 of 1956 PA 218 (MCL 500.3151 & 500.3153) & adds sec. 3151a.
Insurance: health insurers; coverage for intermediate and outpatient care for substance use disorder; modify. Amends secs. 2212e & 3425 of 1956 PA 218 (MCL 500.2212e & 500.3425).
Insurance: no-fault; choice of either an independent medical exam or a utilization review; require. Amends secs. 3151 & 3157a of 1956 PA 218 (MCL 500.3151 & 500.3157a).
Insurance: no-fault; treatment and service for injuries; revise standards and procedures for utilization reviews. Amends sec. 3157a of 1956 PA 218 (MCL 500.3157a).
A bill for an act relating to the term sex and related terms for purposes of statutory construction, including an indication of a person's sex on certain vital records and on certain applications and identification cards.(See HF 2389.)