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 relevant Michigan laws.

Further modifications include the definition of "health care insurer," which now explicitly lists types of insurers, including those authorized to provide health insurance and those offering personal protection insurance. The term "knowing" has been clarified to indicate that it encompasses awareness of facts that would lead to the understanding of one's conduct, excluding errors unless they indicate a pattern of inaccuracies. Overall, the bill aims to enhance the clarity and specificity of terms related to health care claims and the responsibilities of health care entities in Michigan.

Statutes affected:
House Introduced Bill: 752.1002