QUALIFIED IMM. AGENTS AND LAB TESTS; COVER S.B. 993 (S-1):
SUMMARY OF BILL
REPORTED FROM COMMITTEE
Senate Bill 993 (Substitute S-1 as reported)
Sponsor: Senator Sylvia Santana
Committee: Health Policy
CONTENT
The bill would amend Chapter 34 (Disability Insurance Policies) of the Insurance Code to
require an insurer that delivered, issued for delivery, or renewed in Michigan a health
insurance policy that provided coverage for immunization agents to provide coverage for the
following, beginning January 1, 2026:
-- A qualified immunizing agent listed on the Immunization Schedules of the Centers for
Disease Control and Prevention that was administered by a pharmacist under Section
17724 of the Public Health Code, at an in-network pharmacy.
-- A qualified laboratory test ordered by a pharmacist under Section 17724a of the Code, at
an in-network pharmacy.
-- A drug dispensed by a pharmacist under Section 17724a of the Code, at an in-network
pharmacy.
(Section 17724 of the Public Health Code allows a pharmacist to order and administer a
qualified immunizing agent without acting under the direction of a physician. Section 17724a
of the Code allows a pharmacist to order and administer a qualified laboratory test if the test
is waived by the Food and Drug Administration, requires specimen collection only by nose,
mouth, or finger, and is used to screen for COVID-19, influenza, or a respiratory infection.)
Proposed MCL 500.3406kk
BRIEF RATIONALE
On July 19, 2023, Public Act (PA) 97 codified Federal emergency orders issued during the
COVID-19 pandemic that authorized pharmacists to administer immunization agents without
doctor supervision. This was done, in part, to extend care to Michigan residents that were
previously underserved by doctor’s offices, such as those who lived in rural communities or
who were poor;1 however, since PA 97’s implementation, situations have arisen in which
immunizations, COVID-19 tests, or influenza tests that patients want administered from a
pharmacist are not covered under their insurance policies. Requiring insurance policies to
cover certain vaccines, drugs, and tests ordered and administered by a pharmacist would help
these individuals afford necessary medical services.
Legislative Analyst: Alex Krabill
FISCAL IMPACT
The bill would have to fiscal impact on State or local government.
Date Completed: 12-6-24 Fiscal Analyst: Nathan Leaman
1Senate Fiscal Agency, Enacted Analysis of Senate Bill 219 of 2023, 8-25-23. Available on the Michigan
Legislature website: http://www.legislature.mi.gov.
floor\sb993 Bill Analysis @ www.senate.michigan.gov/sfa
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.


Statutes affected:
Substitute (S-1): 500.100, 500.8302
Senate Introduced Bill: 500.100, 500.8302
As Passed by the Senate: 500.100, 500.8302