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SB 450

Human services: medical services; definition of complex rehabilitation technology; provide for. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 108a.

2023-2024 Regular Session Introduced by Kevin Daley and 1 co-sponsor

Michigan law now defines complex rehabilitation technology to establish Medicaid coverage standards for specialized disability equipment like powered wheelchairs and mobility devices.

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Bill Summary · SB 450

Legislative bill overview

SB 450 adds a new section to Michigan's Public Assistance Act that formally defines "complex rehabilitation technology" (CRT)—specialized medical equipment like powered wheelchairs, standing frames, and environmental control systems designed for individuals with severe disabilities. The bill clarifies what qualifies as CRT to establish eligibility standards for state medical assistance coverage of these devices.

Why is this important

Complex rehabilitation technology can dramatically improve mobility, independence, and quality of life for people with severe physical disabilities, but these devices are expensive (often $10,000-$50,000+). By defining CRT in statute, the bill creates a legal framework ensuring consistent access to coverage through Michigan's Medicaid program, preventing arbitrary denials and reducing out-of-pocket costs for vulnerable populations.

Potential points of contention

  • Cost implications: Expanding or clarifying CRT coverage could increase state Medicaid expenditures, though the fiscal impact depends on how broadly "complex rehabilitation technology" is defined in administrative rules
  • Definition disputes: Questions may arise about which technologies qualify as "complex" rehabilitation versus standard medical equipment, potentially creating coverage disputes between patients and insurers
  • Access equity: The bill's effectiveness depends on proper implementation and funding; without adequate resources, the legal definition alone won't guarantee access if state reimbursement rates are too low for suppliers to participate

Compiled from official sources — confirm details with the bill’s official record.

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