MODIFY EXEMPTION; HEALTH CARE FALSE CLAIMS                                           S.B. 809:

                                                                                 SUMMARY OF INTRODUCED BILL

                                                                                                         IN COMMITTEE

 

 

 

 

 

 

 

 

 

Senate Bill 809 (as introduced 3-3-20)

Sponsor:  Senator Jim Stamas

Committee:  Health Policy and Human Services

 

Date Completed:  6-22-20

 


CONTENT

 

The bill would amend the Health Care False Claims Act to modify an exemption to a prohibition against offering or receiving a kickback or bribe in connection with health care goods or services paid for by a health care corporation or health care insurer.

 

Under Section 4 of the Act, a  person who solicits, offers, pays, or receives a kickback or bribe in connection with the furnishing of goods or services for which payment is or may be made by a health care corporation or health care insurer, or who receives a rebate of a fee or charge for referring an individual to another person for the furnishing of health care benefits, is guilty of a felony, punishable by up to four years' imprisonment or by a maximum fine of $50,000, or both.

 

The Act specifies that a rebate or discount from a drug manufacturer or from a company that licenses or distributes the drugs of a drug manufacturer to a consumer for the consumer's use of a drug manufactured or licensed or distributed by the drug manufacturer or company does not violate Section 4. Under the bill, a rebate or discount from a drug manufacturer or from a company that licensed or distributed the drugs of a drug manufacturer to or for the benefit of a consumer for the administration or the consumer's use of a drug manufactured or licensed or distributed by the drug manufacturer or company, including for consumer cost-sharing requirements for the administration or drug would not violate Section 4. "Administration" would mean injection, infusion, or similar means of application.

 

MCL 752.1004a                                                               Legislative Analyst:  Jeff Mann

 

FISCAL IMPACT

 

The bill would have no fiscal impact on State or local government.

 

                                                                                      Fiscal Analyst:  Joe Carrasco

 

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.