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2014 Senate Bill 1033: Clarify ”direct primary care” and “concierge medicine” are not “insurance”

Public Act 522 of 2014

Introduced by Sen. Patrick Colbeck (R) on September 9, 2014
To establish that fixed-fee medical retainer agreements between a physician and a potential patient covering routine health care services are not considered “insurance” subject to the extensive regulatory regime imposed on conventional health insurance policies. This could presumably apply to ”direct primary care” agreements, “concierge medicine” and similar innovations.   Official Text and Analysis.
Referred to the Senate Insurance Committee on September 9, 2014
Reported in the Senate on September 30, 2014
With the recommendation that the bill pass.
Passed 26 to 11 in the Senate on November 6, 2014.
    See Who Voted "Yes" and Who Voted "No".
(same description)
To establish that fixed-fee medical retainer agreements between a physician and a potential patient covering routine health care services are not considered “insurance” subject to the extensive regulatory regime imposed on conventional health insurance policies. This could presumably apply to ”direct primary care” agreements, “concierge medicine” and similar innovations.
Received in the House on October 6, 2014
Referred to the House Insurance Committee on October 6, 2014
Reported in the House on December 16, 2014
With the recommendation that the substitute (H-4) be adopted and that the bill then pass.
Passed 60 to 50 in the House on December 18, 2014.
    See Who Voted "Yes" and Who Voted "No".
(same description)
To establish that fixed-fee medical retainer agreements between a physician and a potential patient covering routine health care services are not considered “insurance” subject to the extensive regulatory regime imposed on conventional health insurance policies. This could presumably apply to ”direct primary care” agreements, “concierge medicine” and similar innovations.
Received in the Senate on December 18, 2014
Passed 26 to 12 in the Senate on December 18, 2014.
    See Who Voted "Yes" and Who Voted "No".
To concur with the House-passed version of the bill.
Signed by Gov. Rick Snyder on January 10, 2015

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