Michigan 2023-2024 Regular Session

Michigan Senate Bill SB0633

Introduced
11/1/23  
Refer
11/1/23  
Report Pass
3/14/24  
Refer
3/14/24  
Report Pass
6/25/24  
Engrossed
6/26/24  

Caption

Insurance: health insurers; state-based insurance exchange; provide for. Creates new act. TIE BAR WITH: SB 0637'23

Impact

The bill significantly impacts state laws by creating a governing board responsible for overseeing the exchange's operations, including enforcing health insurance regulations and setting fees for carriers. It emphasizes the exchange's role in determining individual eligibility for public assistance programs and qualifying for health subsidies. Should enacted, SB 633 would reshape how residents access health insurance, solidifying a framework for a more localized, state-controlled exchange amid ongoing changes in federal health policy, including aspects of the Affordable Care Act.

Summary

Senate Bill 633, known as the Michigan Health Insurance Exchange Act, aims to establish a state-based health insurance exchange operated as a nonprofit corporation. The exchange is designed to foster a competitive market for health insurance in Michigan, encouraging the purchase and sale of qualified health plans, and providing consumers with essential information regarding their options. This bill seeks to streamline the health insurance process by requiring the exchange to create a consumer-friendly platform that provides standardized information about available health plans and subsidy eligibility.

Sentiment

The sentiment surrounding SB 633 has been generally supportive among healthcare advocates and certain lawmakers, viewing it as a pivotal move towards greater accessibility and transparency in health insurance. However, some opposition stems from concerns about potential bureaucratic inefficiencies and the overall costs incurred by implementing the exchange. The discussions hint at a balancing act between expanding consumer access and maintaining operational efficiency, reinforcing the ongoing debate over healthcare governance at both state and federal levels.

Contention

Key points of contention include the governance structure of the exchange and its independence from political influences, as well as the implications for competing insurance carriers. Critics raise questions about the potential impact on private health plans and whether the exchange might lead to market monopolization by state-favored entities. Additionally, stakeholders debate the financial implications of assessments and user fees that sustain the exchange's operations, with concerns over how these costs may ultimately affect consumers and health plan affordability.

Companion Bills

MI SB0637

Same As Insurance: reinsurance; innovative waiver for a reinsurance program; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406nn. TIE BAR WITH: SB 0633'23

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