Legislative Analysis
Phone: (517) 373-8080
REQUIRE TELEMEDICINE COVERAGE
http://www.house.mi.gov/hfa
House Bill 4131 (H-2) as adopted and amended Analysis available at
Sponsor: Rep. Tullio Liberati, Jr. http://www.legislature.mi.gov
Committee: Insurance and Financial Services
Complete to 11-9-23
SUMMARY:
House Bill 4131 would amend the Insurance Code to prohibit insurers in Michigan from
requiring a health care professional to provide services for a patient through telemedicine
unless the services are contractually required per the terms of a contract between the insurer
and an affiliated provider or a third-party vendor for telemedicine-first or telemedicine-only
products, and clinically appropriate as determined by the health care professional.
Telemedicine means the use of an electronic media to link patients with health care
professionals in different locations. To be considered telemedicine, the health care
professional must be able to examine the patient via a Health Insurance Portability and
Accountability Act (HIPAA)–compliant, secure interactive audio or video, or both,
telecommunications system, or through the use of store and forward online messaging.
The act currently prohibits any insurer that delivers, issues for delivery, or renews a health
insurance policy in Michigan from requiring face-to-face contact between a health care
professional and patient for services that the insurer determines are appropriately provided
through telemedicine.
MCL 500.3476
FISCAL IMPACT:
The bill would have no fiscal impact on the state or local units of government.
POSITIONS:
Representatives of the following entities testified in support of the bill (10-5-23):
• Michigan State Medical Society
• Guidance Center
• CNS Healthcare
The following entities indicated support for the bill:
• Michigan Behavior Analysis Providers Association and Hope Network (10-5-23)
• Michigan Federation for Children and Families (10-5-23)
• Michigan Academy of Physician Assistants (10-5-23)
• Michigan Health and Hospital Association (10-26-23)
• Disability Rights Michigan (10-5-23)
• Michigan Council for Maternal and Child Health (10-5-23)
House Fiscal Agency Page 1 of 2
 • Ascension (10-5-23)
• Michigan Academy of Family Physicians (10-5-23)
• Community Mental Health Association of Michigan (10-5-23)
• American Physical Therapy Association – Michigan Chapter (10-5-23)
• Michigan Behavioral Health and Wellness (10-5-23)
• Gateway Pediatric Therapy, LLC (10-5-23)
• MetroEHS Pediatric Therapy and MIBAP (10-5-23)
• Spectrum Autism Center (10-5-23)
• Wedgwood Christian Services (10-5-23)
• Michigan League for Public Policy (10-26-23)
• Oakland Community Health Network (10-5-23)
Blue Cross Blue Shield of Michigan indicated opposition to the bill. (10-26-23)
Legislative Analyst: Rick Yuille
Fiscal Analyst: Marcus Coffin
■ This analysis was prepared by nonpartisan House Fiscal Agency staff for use by House members in their
deliberations and does not constitute an official statement of legislative intent.
House Fiscal Agency HB 4131 (H-2) as adopted and amended Page 2 of 2


Statutes affected:
Substitute (H-2): 500.3476
Substitute (S-2): 500.3476
House Introduced Bill: 500.3476
As Passed by the House: 500.3476
As Passed by the Senate: 500.3476
House Concurred Bill: 500.3476
Public Act: 500.3476
House Enrolled Bill: 500.3476