Michigan House Bill HB5315

Michigan 2023-2024 Regular Session

• Introduced: 11/9/23
• Refer: 11/9/23

Caption

Insurance: health insurers; coverage for annual colonoscopy; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ll.

Impact

If enacted, HB5315 could have significant implications for state health laws related to insurance coverage and preventive healthcare services. Insurers would be compelled to include this specific coverage in their policies, thereby standardizing what is considered essential health benefits for older adults. It also underscores a growing recognition of the necessity for preventive services as a means to enhance public health and reduce long-term healthcare costs associated with untreated conditions.

Summary

House Bill 5315 aims to amend the Michigan insurance code by requiring health insurers to offer coverage for one colonoscopy every calendar year for insured individuals aged 40 years or older. This initiative aligns with ongoing public health efforts to encourage preventive care and early detection of colorectal issues, which can significantly reduce mortality rates associated with colorectal cancer. Supporters argue that by mandating this coverage, it will remove financial barriers for individuals seeking preventive procedures critical for their health.

Contention

Potential points of contention surrounding HB5315 may include concerns from insurance providers regarding the financial implications of expanded coverage requirements. Some stakeholders might argue that the added mandates could lead to increased insurance premiums, while others may contend that the long-term savings from early detection and treatment of health issues could outweigh the initial costs. Additionally, discussions may arise about the adequacy of coverage limits, deductibles, and coinsurance provisions that do not compromise the benefits afforded to insured individuals under this mandate.