HOUSE BILL No. 6269

 

June 22, 2006, Introduced by Reps. Nofs and Mortimer and referred to the Committee on Health Policy.

 

     A bill to amend 1980 PA 350, entitled

 

"The nonprofit health care corporation reform act,"

 

(MCL 550.1101 to 550.1704) by adding section 416e.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 416e. (1) A health care corporation that issues or renews

 

in this state on or after January 1, 2007 a group or nongroup

 

certificate shall provide coverage for the treatment of genetic

 

inborn errors of metabolism that involve amino acid, carbohydrate,

 

and fat metabolism and for which medically standard methods of

 

diagnosis, treatment, and monitoring exist.

 

     (2) Coverage under this section shall include expenses of

 

diagnosing, monitoring, and controlling disorders by nutritional

 

and medical assessment, including clinical services, biochemical

 

analysis, medical supplies, prescription drugs, corrective lenses

 

for conditions related to the genetic inborn error of metabolism,


 

nutritional management, and special medical foods used in treatment

 

to compensate for the metabolic abnormality and to maintain

 

adequate nutritional status.

 

     (3) Coverage under this section shall not have deductibles,

 

copayment, coinsurance, dollar limits, or durational limits that

 

are less favorable than those for physical illness generally.

 

     (4) As used in this section:

 

     (a) "Genetic inborn error of metabolism" means a rare,

 

inherited disorder that meets all of the following:

 

     (i) Is present at birth.

 

     (ii) If untreated, results in mental retardation or death.

 

     (iii) Causes the necessity for consumption of special medical

 

foods.

 

     (b) "Special medical foods" means nutritional substances in

 

any form that meet all of the following:

 

     (i) Are formulated to be consumed or administered internally

 

under the supervision of a physician.

 

     (ii) Are specifically processed or formulated to be distinct in

 

1 or more nutrients present in natural food.

 

     (iii) Are intended for the medical and nutritional management of

 

patients with limited capacity to metabolize ordinary foodstuffs or

 

certain nutrients contained in ordinary foodstuffs or who have

 

other specific nutrient requirements as established by medical

 

evaluation.

 

     (iv) Are essential to optimize growth, health, and metabolic

 

homeostasis.

 

     (c) "Treatment" means medical services provided by licensed


 

health care professionals, including physicians and dietitians,

 

with specific training in managing patients diagnosed with genetic

 

inborn errors of metabolism.