The bill amends the 1984 PA 323, known as the "Health Care False Claim Act," specifically focusing on the definitions outlined in Section 2. Key changes include the clarification of terms such as "claim," which is now defined as an attempt to cause a health care corporation or insurer to make a payment for health care benefits. The term "deceptive" has been refined to indicate that a claim may contain misleading statements or fail to disclose material facts, leading to a false belief about the situation. Additionally, the definition of "health care corporation" has been expanded to include various types of organizations, such as nonprofit dental care corporations and health maintenance organizations, with specific references to the relevant Michigan laws.

Further modifications include the definition of "health care insurer," which now encompasses insurance companies authorized to provide health insurance, those offering personal protection insurance, and self-insured entities providing health care benefits. The bill also updates the definition of "health facility or agency" to align with the current public health code. Other terms, such as "knowing" and "knowingly," have been clarified to specify the awareness of conduct that could lead to the payment of health care benefits, excluding errors or mistakes unless they indicate a pattern of inaccuracies. Overall, these amendments aim to enhance the clarity and effectiveness of the Health Care False Claim Act in addressing fraudulent claims within the health care system.

Statutes affected:
House Introduced Bill: 752.1002
As Passed by the House: 752.1002