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SPONSORED LEGISLATION
SB2681 - Certified Academic Language Therapists; allow to help instruct students with dyslexia in schools.
Jeremy England, Scott DeLano, Nicole Akins Boyd
Last updated 5 months ago
20 Co-Sponsors
An Act To Amend Section 37-173-1, Mississippi Code Of 1972, To Expand The Dyslexia Therapy Scholarship For Students With Dyslexia Program By Making Certified Academic Language Therapists (calt) Eligible To Be Employed By School Districts To Provide Dyslexia Services; To Require The Department Of Education To Issue Licenses To Individuals Through Reciprocity If The Individual Meets Certain Requirements; And For Related Purposes.
STATUS
Passed
SB3167 - General Fund; FY2025 appropriation to Jackson International Airport for certain infrastructure projects.
David Blount, John Horhn, Hillman Terome Frazier
Last updated 6 months ago
5 Co-Sponsors
An Act Making An Appropriation To The Jackson-medgar Wiley Evers International Airport For The Purpose Of Providing Matching Funds For Certain Infrastructure Projects For The Fiscal Year 2025.
STATUS
Failed
SB2757 - Insurance information; require insurers to report certain information to MDHS for child support requirements.
Walter Michel
Last updated 7 months ago
1 Co-Sponsor
An Act To Create New Section 43-19-50, Mississippi Code Of 1972, To Provide That Insurers And Insurance Companies Shall Provide Certain Information To The Mississippi Department Of Human Services To Satisfy Child Support Arrears Of Noncustodial Parents; To Set Certain Restrictions Related Thereto; To Require The Department To Facilitate A Secure Electronic Process To Exchange Information; To Require Insurers To Withhold Claim Payments Or Settlements Upon Receipt Of A Notice That The Claimant Has Outstanding Child Support Obligations; To Provide That Priority Over Withholding These Payments Shall Be Given To Attorney Fees Or Costs Incurred, If Any, And Any Statutory Or Subrogation Liens For Medical Expenses; To Provide That Any Information Obtained Pursuant To This Act Must Be Used Only For The Purpose Of Carrying Out The Provisions Of This Section; To Provide That Failure To Comply With The Provisions Of This Act Shall Subject The Insurer Or Insurance Company To A Fine Of Not Less Than $1,000.00; And For Related Purposes.
STATUS
Failed
SB2738 - State employees health plan; set provisions and restrictions related to pharmacy benefit manager.
Walter Michel, W. Briggs Hopson
Last updated 7 months ago
2 Co-Sponsors
An Act To Amend Section 25-15-301, Mississippi Code Of 1972, To Make Certain Revisions Related To The State And School Employees Health Insurance Management Board; To Provide That When A Proposal Is Under The Board's Evaluation For Pharmacy Benefits Or The Management Thereof, The Executive Director Of The Mississippi Board Of Pharmacy Shall Be One Of The Members Of The Evaluation Committee Of The Board; To Amend Section 25-15-303, Mississippi Code Of 1972, To Include The Executive Director Of The Board Of Pharmacy As A Member Of The Management Board; To Create New Section 25-15-305, Mississippi Code Of 1972, To Set Certain Definitions Related To The Act, Including The Definitions Of Clean Claims, Pharmacy Benefit Plan, Pharmacy Benefit Management Plan ("pbm") And Rebate; To Provide That The Act Shall Only Apply To The Pbm And Its Affiliate That Administer The State Health Plan; To Create New Section 25-15-307, Mississippi Code Of 1972, To Provide That A Pbm Shall Not Reimburse A Pharmacy Or Pharmacist For A Prescription Drug Or Pharmacist Service In A Net Amount Less Than The National Average Drug Acquisition Cost For The Prescription Drug Or Pharmacist Service In Effect At The Time That The Drug Or Service Is Administered Or Dispensed, Plus A Professional Dispensing Fee At Least Equal To The Professional Dispensing Fee Paid By The Mississippi Division Of Medicaid For Outpatient Drugs; To Prohibit Pbms From Charging A Plan Sponsor More For A Prescription Drug Than The Net Amount It Pays A Pharmacy For The Prescription Drug; To Require Pbms To Pay Clean Claims Within A Certain Time Constraint; To Provide Certain Exceptions From This Time Constraint; To Provide That If The Board Finds That Any Pbm, Agent Or Other Party Responsible For Reimbursement For Prescription Drugs And Other Products Has Not Paid Ninety-five Percent Of Clean Claims Received From All Pharmacies In A Calendar Quarter, He Shall Be Subject To Administrative Penalty Of Not More Than $25,000.00 To Be Assessed By The Board; To Authorize The Board To Adopt Rules And Regulations Necessary To Ensure Compliance With This Act; To Authorize A Network Pharmacy Or Pharmacist To Decline To Provide A Brand Name Drug, Multisource Generic Drug, Or Service, If The Network Pharmacy Or Pharmacist Is Paid Less Than That Network Pharmacy's Cost For The Prescription; To Create New Section 25-15-309, Mississippi Code Of 1972, To Set Certain Requirements Related To Pbm, Including That The Pbm Must Provide A Reasonable Administrative Appeal Procedure; To Authorize The Board To Audit Pbms; To Require A Pbm To Reimburse A Pharmacy Or Pharmacist An Amount Less Than The Amount That The Pbm Reimburses A Pbm Affiliate For Providing The Same Pharmacist Services; To Create New Section 25-15-311, Mississippi Code Of 1972, To Require Pbms To Obtain A License From The Board Of Pharmacy; To Create New Section 25-15-313, Mississippi Code Of 1972, To Require Pbms To Pass On To The Plan 100% Of All Rebates And Other Payments That It Receives Directly Or Indirectly From Pharmaceutical Manufacturers In Connection With Claims Or Plan Administration On Behalf Of The Plan; To Prohibit A Pbm Or Third-party Payer From Charging Or Causing A Patient To Pay A Copayment That Exceeds The Total Reimbursement Paid By The Pbm To The Pharmacy; To Create New Section 25-15-315, Mississippi Code Of 1972, To Prohibit A Pharmacy, Pbm, Or Pbm Affiliate From Taking Certain Actions, Including Making Referrals Or Interfering With A Patient's Right To Choose Their Pharmacy; To Create New Section 25-15-317, Mississippi Code Of 1972, To Prohibit Pbms From Retaliating Against A Pharmacist Or Pharmacy Based On The Pharmacist's Or Pharmacy's Exercise Of Any Right Or Remedy Under This Act; To Create New Section 25-15-319, Mississippi Code Of 1972, To Authorize The Board To Bring An Action Against A Pbm Or Pbm Affiliate To Restrain By Temporary Or Permanent Injunction The Use Of Any Method That Is Prohibited By This Act; To Authorize The Board To Impose A Monetary Penalty On Any Pbm Found To Be In Noncompliance; To Create New Section 25-15-319, Mississippi Code Of 1972, To Provide That On The Request By Any Agency Of The State Of Mississippi, Or Any Political Subdivision Of The State Or Any Other Public Entity, A Pbm Shall Deliver Or Otherwise Make Available To The Requesting Agency Or Entity, In Its Entirety And With No Redaction, Any Third-party Aggregator Contracts Or Contracts Relating To Pbm Services; To Provide That Any Entity That Does Not Comply With This Section Shall Be Barred For Five Years From Doing Business In The State; And For Related Purposes.
STATUS
Failed
SB2776 - Immediate possession; authorize for certain public agencies for roads & public utilities for an economic development project.
Walter Michel, Hob Bryan, Barbara Blackmon
Last updated 5 months ago
4 Co-Sponsors
An Act To Amend Section 11-27-81, Mississippi Code Of 1972, To Authorize Certain Public Agencies To Exercise The Right To Immediate Possession Of Easements Or Rights-of-way For Public Highways And Roads, And For Water Utilities, Sewer Utilities, Drainage Utilities And Other Public Utility Purposes In Connection With A Project Defined In Section 57-75-5(f)(xxxiii); And For Related Purposes.
STATUS
Passed
SB2739 - Pharmacy Benefit Prompt Pay Act, Pharmacy Integrity Act, jurisdiction of Department of Insurance; bring forward provisions of.
Walter Michel
Last updated 7 months ago
1 Co-Sponsor
An Act To Bring Forward Sections 73-21-151, 73-21-153, 73-21-155, 73-21-156, 73-21-157, 73-21-159, 73-21-161, 73-21-163, 73-21-175, 73-21-177, 73-21-179, 73-21-181, 73-21-183, 73-21-185, 73-21-187, 73-21-189, 73-21-191, 73-21-201, 73-21-203 And 73-21-205, Mississippi Code Of 1972, Which Provide For The Pharmacy Benefit Prompt Pay Act, Pharmacy Integrity Act, And Prescription Drugs Consumer Affordable Alternative Payment Options Act, For The Purpose Of Possible Amendment; To Bring Forward Sections 83-1-101, 83-1-155, 83-5-1, 83-5-3, 83-5-5, 83-9-1 And 83-9-6, Mississippi Code Of 1972, Which Provide For The Duties And Responsibilities Of The Department Of Insurance, The Jurisdiction Of The Department Of Insurance, Certain Supervision, Notice, Appeals And Hearings Provisions, And Various Other Requirements, For The Purpose Of Possible Amendment; And For Related Purposes.
STATUS
Failed
SB2755 - Mississippi Prior Authorization Reform Act; enact.
Walter Michel
Last updated 7 months ago
1 Co-Sponsor
An Act To Enact The Mississippi Prior Authorization Reform Act; To Establish The Legislative Findings Of The Act; To Provide The Applicability And Scope Of The Act; To Require Health Insurance Issuers To Maintain A Complete List Of Services For Which Prior Authorizations Are Required; To Require Health Insurance Issuers To Make Any Current Prior Authorization Requirements And Restrictions Readily Accessible And Posted On Its Website; To Set Requirements For The Clinical Review Criteria Of Health Insurance Issuers; To Prohibit Health Insurance Issuers From Denying A Claim For Failure To Obtain Prior Authorization If The Prior Authorization Requirement Was Not In Effect On The Date Of Service On The Claim; To Require Health Insurers To Make Certain Prior Authorization Statistics Available On Their Website; To Require Health Insurance Issuers To Make Available A Standardized Electronic Prior Authorization Request Transaction Process By January 1, 2025; To Require All Health Care Professionals And Health Care Providers To Use That Process Not Later Than January 1, 2027; To Establish Certain Requirements On Health Insurance Issuers For Prior Authorizations In Nonurgent Circumstances And Urgent Circumstances; To Provide Certain Qualifications Of Physicians Qualified To Make Adverse Determinations; To Require Health Insurance Issuers To Give Certain Notifications When Making An Adverse Determination; To Establish The Qualifications For Personnel Who Review Appeals Of Prior Authorizations; To Require Health Insurance Issuers To Periodically Review Its Prior Authorization Requirements And To Consider Removal Of These Requirements In Certain Cases; To Provide That A Health Insurance Issuer May Not Revoke Or Further Limit, Condition Or Restrict A Previously Issued Prior Authorization While It Remains Valid Under This Act Unless Certain Exclusions Are Applicable; To Provide How Long Prior Authorization Approvals Shall Be Valid; To Provide How Long The Prior Authorizations For Chronic Conditions Shall Be Valid; To Establish The Procedure For The Continuity Of Prior Approvals From Previous Health Insurance Issuers To Current Issuers; To Provide That A Failure By A Health Insurance Issuer To Comply With The Deadlines And Other Requirements Specified In This Act Shall Result In Any Health Care Services Subject To Review To Be Automatically Deemed Authorized By The Health Insurance Issuer Or Its Contracted Private Review Agent; To Authorize The Department Of Insurance To Issue Cease And Desist Orders To Health Insurance Issuers Or Private Review Agents; To Authorize The State Department Of Insurance To Impose Upon A Private Review Agent, Health Benefit Plan Or Health Insurance Issuer An Administrative Fine Not To Exceed $10,000 Per Violation Of The Act; To Require Health Insurance Issuers To Report To The Department Certain Data; To Require Health Insurance Issuers To Notify The Commissioner Of Insurance Of Suspected Submissions Of False Requests For Prior Authorization; To Require The Commissioner To Have An Administrative Hearing On Such Matters To Resolve The Issue; To Amend Section 41-83-31, Mississippi Code Of 1972, To Conform And To Set Certain Qualifications And Time Constraints For Physicians Making Adverse Determinations Through Any Program Of Utilization Review; To Amend Sections 41-83-1, 41-83-3, 41-83-13, 41-83-21, 83-1-101 And 83-9-6.3 Mississippi Code Of 1972, To Conform With The Provisions Of This Act; To Bring Forward Sections 41-83-5, 41-83-7, 41-83-9, 41-83-11, 41-83-15, 41-83-17, 41-83-19, 41-83-23, 41-83-25, 41-83-27 And 41-83-29, Mississippi Code Of 1972, For The Purpose Of Possible Amendment; And For Related Purposes.
STATUS
Failed
SB2851 - Nonprofit agricultural membership organization; authorize to issue health insurance and exempt from insurance regulation.
Walter Michel, Derrick T. Simmons, Kevin Blackwell
Last updated 5 months ago
40 Co-Sponsors
An Act To Create New Section 83-1-111, Mississippi Code Of 1972, To Exempt Nonprofit Agricultural Membership Organizations From Insurance Regulation; To Provide That A Nonprofit Agricultural Membership Organization May Provide Coverage For Healthcare Benefits Or Services For Its Members And Their Families Pursuant To Contracts Between Members And The Organization Or Its Affiliates; To Provide That A Nonprofit Agricultural Membership Organization Or Its Affiliate Shall Have A Designated Individual Who, In Consultation With The State Insurance Department, Operates As An Ombudsman To Address Concerns From Insured Members Regarding The Namo Plan; To Provide That The State Insurance Department Shall Have The Authority To Review And Comment On The Complaint, Provided That All Complaints Shall Be Investigated And Resolved Solely By The Ombudsman And Namo Or Its Designee; To Provide Certain Requirements For Namo Plans; To Provide That Healthcare Benefits Or Services May Be Sold Or Solicited Only By An Insurance Producer Who Is Both Appointed By An Organization Meeting The Requirements Of This Act And Licensed As An Insurance Producer To Sell Or Solicit Accident And Health Insurance In This State; To Amend Section 83-1-101, Mississippi Code Of 1972, To Conform To The Provisions Of The Act; And For Related Purposes.
STATUS
Passed
SB2759 - Transparency and Accountability of Patient Premiums Invested in Dental Care Act; create.
Walter Michel, Michael W. McLendon, Dean Kirby
Last updated 7 months ago
5 Co-Sponsors
An Act To Create The Transparency And Accountability Of Patient Premiums Invested In Dental Care Act; Define "medical Loss Ratio" As The Minimum Percentage Of All Premium Funds Collected By A Dental Insurance Plan Each Year That Must Be Spent On Actual Patient Care Rather Than Administrative And Overhead Costs; To Define "administrative And Overhead Costs"; To Provide That A Health Care Service Plan That Issues, Sells, Renews, Or Offers A Specialized Health Care Service Plan Contract Covering Dental Services Shall File A Mlr With The Department Of Insurance That Is Organized By Market And Product Type And Contains The Same Information Required In The 2013 Federal Medical Loss Ratio Annual Reporting Form; To Provide The Timeline For Submitting Information For Data Verification Of The Health Care Service Plan's Representations In The Medical Loss Ratio Annual Report; To Provide That The Medical Loss Ratio For Dental Insurance Plans Shall Be 83%; To Provide The Method For Calculating The Total Amount Of An Annual Rebate Required; To Provide The Time That A Carrier Offering Dental Benefit Plans Has To File Group Product Base Rates And Any Changes; To Authorize The Department Of Insurance To Disapprove Any Base Rate Changes That Are Excessive, Inadequate Or Unreasonable In Relation To Benefits Charged; To Provide When The Commissioner Of Insurance May Presumptively Disapprove As Excessive A Dental Benefit Plan Carrier's Rate; To Provide The Hearing Process For When A Proposed Rate Change Has Been Presumptively Disapproved; To Authorize The Department Of Insurance To Promulgate Rules And Regulations; To Provide The Applicability Of The Act; And For Related Purposes.
STATUS
Failed
SB2756 - State and School Employees' Health Insurance Board; require board to determine applicable insurance benefits and exclusions.
Walter Michel
Last updated 6 months ago
1 Co-Sponsor
An Act To Amend Section 25-15-5, Mississippi Code Of 1972, To Provide That The State And School Employees Health Insurance Board Shall Determine All Benefits And Exclusions Provided Under The State And School Employees' Health Insurance Plan; To Repeal Section 25-15-7, Mississippi Code Of 1972, Which Provides For Certain Services Not Included In The State Employees Health Insurance Plan; And For Related Purposes.
STATUS
Failed
BIOGRAPHY
INCUMBENT
Senator from Mississippi district SD-025
COMMITTEES
Mississippi Senate
BIRTH
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ABOUT
Walter Michel was born in New Jersey in 1962. He attended Rutgers University, graduating with a degree in political science. After college, Michel worked in the financial services industry. In 2010, Michel ran for New Jersey's 12th Congressional district. He lost in the Republican primary. Four years later, Michel ran again, this time winning the Republican nomination. However, he lost the general election to the Democratic incumbent.read less
OFFICES HELD
Mississippi Senate from Mississippi
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