INSURANCE COV.; CHIROPRACTIC SERVICE                                              S.B. 282 & 283:

                                                                                  SUMMARY OF INTRODUCED BILL

                                                                                                         IN COMMITTEE

 

 

 

 

 

 

 

 

 

Senate Bills 282 and 283 (as introduced 3-29-17)

Sponsor:  Senator Mike Nofs (S.B. 282)

               Senator Jim Stamas (S.B. 283)

Committee:  Insurance

 

Date Completed:  12-12-17

 


CONTENT

 

Senate Bills 282 and 282 would amend the Worker's Disability Compensation Act and the Insurance Code, respectively, to delete provisions under which reimbursement or coverage for a chiropractic service is not required unless the service was included in the Public Health Code's definition of "practice of chiropractic" as of January 1, 2009.

 

Each bill would take effect 90 days after it was enacted.

 

Senate Bill 282

 

Under the Worker's Disability Compensation Act, an employer must furnish, or cause to be provided, to an employee who receives a personal injury arising out of and in the course of employment, reasonable medical, surgical, and hospital services and medicine, or other attendance or treatment recognized by the laws of Michigan as legal, when they are needed. However, an employer is not required to reimburse or cause to be reimbursed charges for a chiropractic service unless that service was included in the definition of "practice of chiropractic" under the Public Health Code as of January 1, 2009.

 

The bill would delete this exclusion for chiropractic service.

 

Senate Bill 283

 

Under Chapter 31 (Motor Vehicle Personal and Property Protection) of the Insurance Code, reimbursement or coverage for expenses within personal protection insurance coverage under Section 3107 (which describes eligible expenses under personal protection insurance) is not required for a practice of chiropractic service, unless that service was included in the definition of "practice of chiropractic" under the Public Health Code as of January 1, 2009.

 

The bill would delete this exclusion for chiropractic service.

 

MCL 418.315 (S.B. 282)                                                                                            

       500.3107b (S.B. 283)

 

BACKGROUND

 

Public Act 223 of 2009 amended the Public Health Code to revise the scope of practice for chiropractors, by referring to the discipline within the healing arts that deals with the human


nervous system and the musculoskeletal system and their interrelationship with other body systems. This replaced language that referred to the discipline dealing with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. The legislation also made other changes to the definition of "practice of chiropractic".

 

At the same time, additional legislation amended various statutes governing insurance to specify that reimbursement or coverage is not required for chiropractic services unless those services were included in the Public Health Code's definition of "practice of chiropractic" as of January 1, 2009. The additional legislation included Public Acts 222 and 226 of 2009, which amended Chapter 31 of the Insurance Code and the Worker's Disability Compensation Act, respectively.

 

All of these Public Acts took effect on January 5, 2010.

 

                                                                            Legislative Analyst:  Drew Krogulecki

 

FISCAL IMPACT

 

The bills would have no fiscal impact on State or local government.

 

                                                                                  Fiscal Analyst:  Michael Siracuse

 

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.