Bill Text: MI SB0429 | 2011-2012 | 96th Legislature | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Insurance; health; standardized prior authorization form for prescription drugs; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 2212c. TIE BAR WITH: SB 0430'11

Spectrum: Moderate Partisan Bill (Republican 8-2)

Status: (Engrossed - Dead) 2012-03-29 - Referred To Committee On Insurance [SB0429 Detail]

Download: Michigan-2011-SB0429-Introduced.html

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SENATE BILL No. 429

 

 

June 14, 2011, Introduced by Senators SCHUITMAKER, BIEDA, GLEASON, JANSEN, KAHN, WALKER, ROBERTSON, JONES, HUNE and EMMONS and referred to the Committee on Insurance.

 

 

 

     A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

(MCL 500.100 to 500.8302) by adding section 2212c.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 2212c. (1) Effective January 1, 2012, each insurer

 

issuing an expense-incurred hospital, medical, or surgical policy

 

or certificate, health maintenance organization, or health care

 

corporation operating pursuant to the nonprofit health care

 

corporation reform act, 1980 PA 350, MCL 550.1101 to 550.1704,

 

shall require and accept the standard prior authorization form

 

developed under subsection (3) when requiring prior authorization

 

for prescription drug benefits for any policy, certificate, or

 

contract that requires prior authorization for prescription drug

 

benefits.

 

     (2) If a health insurer, health maintenance organization, or

 

health care corporation fails to require, fails to accept, or fails

 

to respond within 48 hours of submission by a physician of a

 

properly completed standard prior authorization form developed

 

under subsection (3), the prior authorization request shall be

 

considered to have been granted.

 

     (3) By January 1, 2012, the commissioner shall develop a

 

standard prior authorization form that, notwithstanding any other

 

provision of law, every physician shall use to request prior

 

authorization for prescription drugs. The commissioner shall hold

 

not less than 1 public hearing to gather input from interested

 

parties in developing the standard prior authorization form. The

 

standard prior authorization form shall meet all of the following:

 

     (a) Shall not exceed 2 pages.

 

     (b) Shall be electronically available.

 

     (c) Shall be electronically transmissible.

 

     Enacting section 1. This amendatory act does not take effect

 

unless Senate Bill No. 430                                    

 

          of the 96th Legislature is enacted into law.