The bill amends the Michigan Insurance Code of 1956, specifically section 3157a, to establish new requirements for physicians, hospitals, clinics, and other providers of treatment, products, services, or accommodations related to accidental bodily injuries covered by personal protection insurance. It stipulates that by providing such services after July 1, 2020, these providers agree to submit necessary records for utilization review and comply with decisions made by the department. Additionally, the bill introduces penalties for those who knowingly submit false or misleading information, categorizing such actions as fraudulent insurance acts.

Furthermore, the bill mandates the department to create rules for utilization review, which will include establishing criteria for identifying excessive utilization of services and outlining procedures for acquiring necessary records and appealing determinations. It allows insurers to request explanations for treatments that deviate from standard practices and provides a framework for appealing decisions regarding the appropriateness of treatments. The bill also clarifies that insurers must adhere to the department's decisions regarding these matters.

Statutes affected:
Senate Introduced Bill: 500.3157