SENATE BILL No. 4

 

 

January 8, 2003, Introduced by Senator HAMMERSTROM and referred to the Committee on Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1956 PA 218, entitled                                             

                                                                                

    "The insurance code of 1956,"                                               

                                                                                

    (MCL 500.100 to 500.8302) by adding section 3406l.                          

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 3406l.  An insurer that delivers, issues for delivery,                 

                                                                                

2   or renews in this state on or after January 1, 2004 an                      

                                                                                

3   expense-incurred hospital, medical, or surgical policy or                   

                                                                                

4   certificate and a health maintenance organization that issues or            

                                                                                

5   renews a group or individual contract on or after January 1, 2004           

                                                                                

6   shall provide for both of the following:                                    

                                                                                

7       (a) That cost-sharing requirements and benefit or service                   

                                                                                

8   limitations for outpatient mental health and outpatient substance           

                                                                                

9   abuse services do not place a greater financial burden on the               

                                                                                

10  insured or enrollee and are not more restrictive than those                 

                                                                                

11  requirements and limitations for outpatient medical services.               

                                                                                


1       (b) That cost-sharing requirements and benefit or service                   

                                                                                

2   limitations for inpatient hospital mental health and inpatient              

                                                                                

3   hospital and residential substance abuse services do not place a            

                                                                                

4   greater financial burden on the insured or enrollee and are not             

                                                                                

5   more restrictive than those requirements and limitations for                

                                                                                

6   inpatient hospital medical services.