SB 37: Insurance: health insurers; coverage for gynecological and perinatal services; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406cc. - Michigan

As Passed by the Senate → Substitute (S-1) · 2 edits

MINOR

The bill was amended to remove a specific requirement that coverage for gynecological or perinatal care services must be provided at an in-network facility, agency, or the individual's home. This change broadens the scope of covered services by eliminating the location restriction, allowing coverage for such services regardless of where they are provided. The amendment also updates the bill's version identifier from S-2 to S-1, reflecting its progression through the legislative process.

Scope change

The bill's scope was broadened by removing the requirement that gynecological or perinatal care services must be provided at an in-network facility, agency, or the individual's home, thereby expanding where these services can be covered.

REQUIREMENT

Removed the requirement that coverage for gynecological or perinatal care services must be provided at an in-network health facility, agency, or the individual's home.

TECHNICAL

Updated the bill version identifier from S-2 to S-1 and adjusted formatting in the header and footer sections.

Senate Introduced Bill → As Passed by the Senate · 3 edits · Apr 17, 2025

MINOR

This bill amends Michigan's insurance code to require health insurers to cover perinatal and gynecological care services provided at home by in-network midwives, certified nurse midwives, or physicians, in addition to services provided at health facilities. The change expands coverage options for reproductive and prenatal care by explicitly including home-based care settings and clarifying definitions for key medical professionals involved in these services.

Scope change

The bill expands the scope of covered services to include care provided at an individual's home by in-network providers, whereas the original version only specified coverage for services provided in health facilities or agencies.

REQUIREMENT

Added requirement that insurers must cover gynecological or perinatal care services provided at an individual's home by in-network physicians, certified nurse midwives, or midwives.

DEFINITION

Added specific definitions for 'certified nurse midwife', 'health facility or agency', 'midwife', and 'physician' to clarify which providers qualify under the coverage requirements.

ELIGIBILITY

Modified eligibility criteria by expanding the list of covered providers to include certified nurse midwives and midwives acting within their scope of practice, alongside physicians.

Substitute (S-1) - 2 → Substitute (S-2) - 3 · 2 edits

MINOR

The bill was amended to clarify that health insurance coverage for perinatal and gynecological services applies regardless of where the care is provided, whether at an in-network facility or at the individual's home. This change ensures that individuals can access covered services from qualified providers at their residence without losing coverage protections.

Scope change

The bill's scope was expanded to explicitly include care provided at the individual's home alongside in-network facilities, broadening the settings where coverage applies.

REQUIREMENT

Added language clarifying that coverage applies whether services are provided at an in-network facility or at the individual's home, removing ambiguity about home-based care coverage.

TECHNICAL

Updated bill version identifiers from S-1 to S-2 and changed tracking codes, indicating this is a revised substitute version of the legislation.

Substitute (S-2) - 2 → Substitute (S-1) - 2 · 3 edits

MINOR

The bill text shows minor formatting and version number changes between two versions of the same legislative substitute. The substantive policy language regarding health insurance coverage for perinatal and gynecological services remains unchanged, with only line breaks and document identifiers modified.

TECHNICAL

Minor formatting adjustment in line 4-5 where text was restructured across lines without changing meaning

Document version identifier changed from S-2 to S-1, indicating a revision in the legislative process

Document tracking codes (kjg4qb to xgw92f) updated, likely for version control purposes

Substitute (S-1) → Substitute (S-2) · 1 edit

MINOR

The bill was amended to clarify that coverage for gynecological or perinatal care services applies regardless of where the service is provided, including at an individual's home. This change ensures that in-network providers can deliver covered services in home settings without losing coverage eligibility, expanding access to care while maintaining network requirements.

Scope change

The bill's scope was expanded to explicitly include home-based care settings for gynecological and perinatal services, whereas the original version only specified in-network facilities or agencies.

REQUIREMENT

Added language clarifying that coverage applies whether services are provided at an in-network facility or at the individual's home, removing ambiguity about home-based care eligibility.

Insurance: health insurers; coverage for gynecological and perinatal services; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406cc.

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