June 9, 2016, Introduced by Reps. Pagan and Chang 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 3406t.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 3406t. (1) An expense-incurred hospital, medical, or
surgical group or individual policy or certificate delivered,
issued for delivery, or renewed in this state that provides
coverage for prescription drugs and a health maintenance
organization group or individual contract that provides coverage
for prescription drugs shall include coverage for both of the
following:
(a) Prescription contraceptives.
(b) If covered for other prescription drugs under the policy,
certificate, or contract, outpatient consultations, examinations,
procedures, and medical services that are necessary to prescribe,
dispense, deliver, distribute, administer, or remove a prescription
contraceptive.
(2) The coverage required under subsection (1) shall provide
coverage for the dispensing of prescription contraceptives intended
to last for the following time periods:
(a) If the prescription contraceptive is being dispensed for
the first time to the insured or enrollee, a 3-month period.
(b) If the prescription contraceptive is being dispensed a
second or subsequent time to the insured or enrollee, a 12-month
period regardless of whether the insured or enrollee was covered
under the policy, plan, or certificate at the time of the first
dispensing.
(3) Coverage under subsection (1) may be subject to provisions
of the policy, certificate, or contract that apply equally to other
prescription drugs covered by the policy, certificate, or contract,
including, but not limited to, required copayments, deductibles,
and coinsurance.
(4) This section does not apply to a religious employer that
provides group health coverage to its employees.
(5) As used in this section:
(a) "Prescription contraceptive" means a drug or device that
requires a prescription and is approved by the United States Food
and Drug Administration to prevent pregnancy.
(b) "Religious employer" means an employer that meets all of
the following:
(i) The employer's purpose is the inculcation of religious
values.
(ii) The employer primarily employs persons who share the
religious tenets of the employer.
(iii) The employer primarily serves persons who share the
religious tenets of the employer.
(iv) The employer is a nonprofit organization that is exempt
from filing under section 6033(a)(3)(A)(i) or (iii) of the internal
revenue code of 1986, 26 USC 6033.
Enacting section 1. This amendatory act applies to policies,
certificates, and contracts delivered, executed, issued, amended,
adjusted, or renewed in this state, or outside of this state if
covering residents of this state, beginning 90 days after the date
this amendatory act is enacted into law.