HOUSE BILL No. 4451

 

 

April 11, 2019, Introduced by Reps. Calley, Markkanen, Sabo, Brixie, Kuppa and Yancey and referred to the Committee on Health Policy.

 

     A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

(MCL 500.100 to 500.8302) by adding section 3406u.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 3406u. (1) An insurer that delivers, issues for delivery,

 

or renews in this state a health insurance policy that provides

 

coverage for prescription eyedrops shall not deny coverage for a

 

refill of the prescription if all of the following apply:

 

     (a) For a 30-day supply, the amount of time has passed within

 

which the insured should have used 70% of the dosage units of the

 

drug according to the prescriber's instructions, or 21 days have

 

passed after either of the following:

 

     (i) The original date the prescription was distributed to the

 

insured.

 

     (ii) The date the most recent refill was distributed to the


insured.

 

     (b) The prescriber indicates on the original prescription that

 

additional quantities are needed.

 

     (c) The prescription eye drops prescribed by the prescriber

 

are covered under the health insurance policy.

 

     (2) As used in this section, "prescriber" means that term as

 

defined in section 17708 of the public health code, 1978 PA 368,

 

MCL 333.17708.

 

     Enacting section 1. This amendatory act applies to health

 

insurance policies 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.