Definition


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Below is the relevant legislation related to parity that has been introduced during the current or recently adjourned legislative session. State parity legislation passed in any state since 2008 is usually designed to increase compliance with the federal law and to strengthen state laws.

Are we missing any passed or introduced legislation? Let us know at info@paritytrack.org.

Introduced Legislation

Regular Session Convened 1/9/2019
Will adjourn 12/31/2019
Governor's Deadline 1/1/4/2020

2018

Primary Focus Medical Management Limitation
Title/Description Prohibits insurers from placing more burdensome cost sharing requirements and service limitations on mental health services
Citation HB 6190
Introduced 6/12/2018
Sponsor Rep. Howrylak (R)
Status Died in Committee
Summary

HB 6190 amends the MCL to prohibit insurers from placing cost sharing requirements and benefit or service limitations on outpatient and inpatient mental health services that place a greater financial burden on a beneficiary or are more restrictive than those for medical services. It also amends MCL 500.100-500.8302 by adding section 500.346u to apply the above to insurance policies or insurance contracts that insure against loss resulting from sickness or from bodily injury or death by accident, or both, including specific hospital benefits and medical, surgical, and sick-care benefits to an individual, family, or group.

Primary Focus Medical Management Limitation
Title/Description Prohibits insurers from placing more burdensome cost sharing requirements and service limitations on mental health services
Citation H 6191
Introduced 6/12/2018
Sponsor Rep. Howrylak (R)
Status Died in Committee
Summary

HB 6191 amends 1980 PA 350 (MCL 550.1101 to 550.1704) by adding section 550.416f to prohibit health care corporations that issue or renew group or nongroup certificates from placing cost sharing requirements and benefit or service limitations on outpatient and inpatient mental health services that place a greater financial burden on a beneficiary or are more restrictive than those for medical services

2015

HB 6012
Introduced 11/2016
Sponsor Rep. Howrylak
Summary This bill tried to add a section to the state insurance law about parity . This section prohibited the use of cost sharing requirements for outpatient mental health services and inpatient hospital mental health services that are more burdensome than those in place for medical services.
SB 353
Introduced 5/2015
Sponsor 5/2015
Summary
This bill tries to change the state insurance law about autism coverage in the following ways:
  • Requires plans to structure their in-network coverage for autism services so that plan enrollees can receive “timely” diagnosis and treatment (“timely” is defined precisely)
  • Plans cannot deny or limit coverage to a child with “problem behaviors”
  • Requires the Department of Insurance and Financial Services to adjust the annual maximums for inflation every year

2013-2014

SB 204
Introduced 2/2013
Sponsor Sen. Schuitmaker
Status Dead 2/2013
Summary This bill tried to add a section to the state insurance law about parity. It would have required plans that cover inpatient care, outpatient care, and residential treatment for behavioral health conditions (including autism) to have financial requirements and treatment limitations similar to and no more “restrictive” than those in place for other medical services.
SB 455
Senate Bill SB 456
Introduced 7/2013
Sponsor Sen. Warren
Status Dead 7/2013
Summary This bill tried to add a section to the state insurance law about parity. It would have required plans that cover inpatient care and outpatient care, for mental health conditions to have financial requirements and treatment limitations similar to and no more “restrictive” than those in place for other medical services.

2011-2012

SB 50
Introduced 1/2011
Sponsor Sen. Warren
Status Dead 1/2011
Summary

This bill tried to add a section to the state insurance law about parity. It would have required plans that cover inpatient care, outpatient care, and residential treatment for behavioral health conditions (including autism) to have financial requirements and treatment limitations similar to and no more “restrictive” than those in place for other medical services.

SB 38
Senate Bill SB 39
Introduced 2/2011
Sponsor Sen. Hunter
Status Dead 1/2011
Summary
This bill tried to add a section to the state insurance law about autism coverage before the current section about autism coverage was added (that section is summarized at the bottom of this page under “Michigan Parity Law,” “Autism Coverage”). Here is how this bill is different than what is currently in the law:
  • No age-specific requirements or age limits for treatment
  • Required annual maximum of $50,000 for all who are covered (specifies that this is for applied behavior analysis)
  • No language allowing plans to request that an autism diagnostic observation schedule be performed once every 3 years
  • Does not specify how often a plan can review a child’s treatment plan
  • No language about the Affordable Care Act
HB 4604
House Bill HB 4605
Introduced 5/2011
Sponsor Rep. Brown
Status Dead 5/2011
Summary
This bill tried to add a section to the state insurance law about autism coverage before the current section about autism coverage was added (that section is summarized at the bottom of this page under “Michigan Parity Law,” “Autism Coverage”). Here is how this bill is different than what is currently in the law:
  • No age-specific requirements or age limits for treatment
  • Required annual maximum of at least $50,000 for all who are covered (specifies that this is for applied behavior analysis)
  • No language allowing plans to request that an autism diagnostic observation schedule be performed once every 3 years
  • Does not specify how often a plan can review a child’s treatment plan
  • No language about the Affordable Care Act

2009-2010

SB 4597
Senate Bill SB 4598
Introduced 3/2009
Sponsor Sen. Warren and Sen. Pearce
Status Dead 11/2010
Summary These bills tried to add a section to the state insurance law about parity. It would have required plans that cover inpatient care, outpatient care, and residential treatment for behavioral health conditions to have financial requirements and treatment limitations similar to and no more “restrictive” than those in place for other medical services.
HB 5097
Introduced 6/2009
Sponsor Rep. Meadows
Status Dead 6/2009
Summary
This bill tried to add a section to the state insurance law about parity. It would have required plans that cover inpatient care and outpatient care, for certain mental health conditions to have financial requirements and treatment limitations similar to and no more “restrictive” than those in place for other medical services. This would have only applied to services for the following conditions:
  • Schizophrenia
  • Schizoaffective disorder
  • Bipolar disorder
  • Major depressive disorder
  • Paranoia and other psychotic disorders
  • Obsessive compulsive disorder
  • Panic disorder
SB 359
Introduced 3/2009
Sponsor Sen. Hunter
Status Dead 3/2009
Summary
This bill tried to add a section to the state insurance law about autism coverage before the current section about autism coverage was added (that section is summarized at the bottom of this page under “Michigan Parity Law,” “Autism Coverage”). Here is how this bill is different than what is currently in the law:
  • No age-specific requirements or age limits for treatment
  • No language about annual maximums
  • No language allowing plans to request that an autism diagnostic observation schedule be performed once every 3 years
  • Plans can review a child’s treatment plan once every 6 months
  • Does not list and define treatment of autism spectrum disorder (except for applied behavior analysis)
  • No language about the Affordable Care Act
SB 740
Introduced 8/2009
Sponsor Sen. Thomas
Status Dead 8/2009
Summary
This bill tried to add a section to the state insurance law about autism coverage before the current section about autism coverage was added (that section is summarized at the bottom of this page under “Michigan Parity Law,” “Autism Coverage”). Here is how this bill is different than what is currently in the law:
  • No age-specific requirements or age limits for treatment
  • Required annual maximum of at least $50,000 for all who are covered (specifies that this is for applied behavior analysis )
  • No language allowing plans to request that an autism diagnostic observation schedule be performed once every 3 years
  • Allows plans to review a child’s treatment plan once every 6 months
  • No language about the Affordable Care Act
HB 4183
Introduced 2/2009
Sponsor Rep. Ball
Status Dead 6/2009
Summary
This bill tried to add a section to the state insurance law about autism coverage before the current section about autism coverage was added (that section is summarized at the bottom of this page under “Michigan Parity Law,” “Autism Coverage”). Here is how this bill is different than what is currently in the law:
  • No age-specific requirements or age limits for treatment
  • Required annual maximum of at least $50,000 for all who are covered (specifies that this is for applied behavior analysis )
  • No language allowing plans to request that an autism diagnostic observation schedule be performed once every 3 years
  • No language about the Affordable Care Act

State Parity Reports

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Common Violations

In seeking care or services, be aware of the common ways parity rights can be violated.