The bill amends the Michigan Insurance Code of 1956, specifically section 3157, to revise reimbursement rates for medical treatment and rehabilitative services for individuals injured in accidents covered by personal protection insurance. It establishes new payment caps based on percentages of Medicare rates for services rendered during specified timeframes, particularly after July 1, 2021, and before July 2, 2023, as well as for subsequent years. The bill also introduces provisions for residential services, attendant care, and personal caregiver reimbursement, detailing specific rates and conditions for compensation. Additionally, it modifies existing eligibility language for reimbursement, removing certain subsections and introducing new definitions and accreditation requirements for service providers, while ensuring that rights of individuals injured before June 11, 2019, remain unaffected.

Furthermore, the bill updates definitions related to healthcare services, particularly home care and rehabilitation for injured individuals. It introduces terms such as "High-tech care level services," which includes personal care and monitoring that does not require direct oversight by a licensed nurse, and clarifies the definition of "Home care" as services provided in a person's residence. The bill also establishes various levels of "Residential services" based on individual needs and modifies existing definitions, including updates to "Consumer Price Index" and "Emergency medical condition," while removing the definition of "Neurological rehabilitation clinic." The introduction of the term "Personal caregiver" outlines criteria for home care service providers. The enactment of this bill is contingent upon the passage of related legislation to ensure alignment with broader healthcare reforms.

Statutes affected:
House Introduced Bill: 500.3157