Michigan 2023-2024 Regular Session

Michigan House Bill HB5891

Introduced
7/30/24  

Caption

Insurance: health insurers; prohibition on denying or conditioning coverage of a Medicare supplement policy; expand. Amends sec. 3829 of 1956 PA 218 (MCL 500.3829).

Impact

If enacted, HB 5891 would significantly impact the state's approach to health insurance policies. It would require that all Medicare supplement policies be made available to qualified applicants without discrimination based on age or health-related factors. The bill aims to improve the market for these policies by ensuring more equitable pricing—specifically stating that non-age-eligible individuals should not be charged more than the rates available to those aged 65. Moreover, it removes waiting periods or preexisting condition exclusions for eligible applicants, which could foster a more inclusive environment for Medicare beneficiaries.

Summary

House Bill 5891 aims to amend the Michigan Insurance Code to expand regulations surrounding Medicare supplement policies. The bill specifically prohibits insurers from denying or conditioning coverage based on an applicant's health status, claims experience, or medical condition. This is particularly relevant for individuals aged 65 and over, as well as non-age-eligible individuals who meet certain conditions. This inclusion ensures that applicants are provided with fair access to Medicare supplement policies during designated enrollment periods, enhancing their insurance options and security.

Contention

The passage of HB 5891 may lead to debates around state regulatory powers in insurance markets. Proponents may argue that the bill protects vulnerable populations from discrimination, while opponents might raise concerns over potential increases in insurance premiums due to the removal of risk-based pricing models. Additionally, some may question the implications of mandating such reforms on smaller insurance providers who may struggle to comply with the more stringent requirements. Overall, the bill can be seen as a step toward enhancing consumer protections in health insurance for the state's elderly and disabled population.

Companion Bills

No companion bills found.

Previously Filed As

MI SB1143

Insurance: health insurers; prohibition on denying or conditioning coverage of a Medicare supplement policy; expand. Amends sec. 3829 of 1956 PA 218 (MCL 500.3829).

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