Michigan Senate Bill SB0685

Michigan 2023-2024 Regular Session

• Introduced: 1/11/24
• Refer: 1/11/24

Caption

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. 3406kk.

Impact

If enacted, SB 685 would significantly impact existing healthcare policies in Michigan by mandating insurers to modify their coverage policies regarding prescription drugs. It would elevate the availability of maintenance medications, thereby assisting patients in managing chronic conditions more effectively. This could lead to improved health outcomes for individuals reliant on such medications, as having a larger supply on hand may encourage adherence to treatment protocols.

Summary

Senate Bill 685 seeks to amend the Michigan Insurance Code of 1956 to require health insurance providers to cover up to a 90-day supply of any covered maintenance prescription drug. This bill aims to streamline access to necessary medications that patients regularly require, thereby reducing the frequency of prescription refills and potential medication interruptions. The intention behind this legislation is to enhance healthcare delivery and patient compliance with prescribed treatment regimens.

Contention

However, there could be concerns raised regarding the financial implications for insurance companies and the potential for increased premiums resulting from mandated coverage. Some stakeholders might argue that such requirements may challenge the financial sustainability of health plans, prompting insurers to reassess their pricing structures. Additionally, there may be debates around the classification and definition of 'maintenance prescription drugs', which could affect the implementation and scope of the bill.