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Michigan Introduces Registered Nurse First Assistant Reimbursement Bills

Publish Date: 4/17/2013

House Bills 4520, 4521 and 4522, Registered Nurse First Assistant (RNFA) reimbursement bills were introduced in the Michigan House of Representatives on April 9, 2013 and referred to the Committee on Insurance. 

  • HB 4520 would prohibit a third party administrator from entering into a service contract for a benefit plan unless that plan provides coverage for first assistant at surgery services provided by a RNFA.
  • HB 4521 would require a health care corporation that offers a group or non-group certificate that covers first assistant at surgery services provided by non-physicians to also include coverage for services provided by a RNFA.
  • HB 4522 would require an insurer that offers a group or non-group policy and provides coverage for first assistant at surgery services performed by a non-physician to also include coverage of RNFA services.

Should the bills pass, Michigan would join 16 other states that currently require reimbursement for RNFA services.  Alabama, Massachusetts, New York and Pennsylvania are also considering RNFA reimbursement legislation in 2013.

AORN supports the role of the RNFA in contributing to safe patient care and recognizes that the failure of payers to provide for RNFA reimbursement represents a barrier to optimal utilization of RNFA services. AORN Government Affairs will continue to report on this legislation.  

If you live in Michigan, please watch your email and be ready to respond to requests seeking your involvement as the initiative proceeds.

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