SENATE BILL No. 5

 

 

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

     Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1980 PA 350, entitled                                             

                                                                                

    "The nonprofit health care corporation reform act,"                         

                                                                                

    (MCL 550.1101 to 550.1704) by adding section 416d.                          

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 416d.  A health care corporation that issues or renews                 

                                                                                

2   In this state on or after January 1, 2004 a group or nongroup               

                                                                                

3   certificate shall provide for both of the following:                        

                                                                                

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

                                                                                

5   limitations for outpatient mental health and outpatient substance           

                                                                                

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

                                                                                

7   member and are not more restrictive than those requirements and             

                                                                                

8   limitations for outpatient medical services.                                

                                                                                

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

                                                                                

10  limitations for inpatient hospital mental health and inpatient              

                                                                                

11  hospital and residential substance abuse services do not place a            

                                                                                


                                                                                

1   greater financial burden on the member and are not more                     

                                                                                

2   restrictive than those requirements and limitations for inpatient           

                                                                                

3   hospital medical services.