HOUSE BILL No. 4793

 

May 17, 2005, Introduced by Reps. Amos, Gillard, Miller, Kolb, Farrah, Kathleen Law, Brown, Tobocman, Anderson, Condino, Pastor, Zelenko, Bieda, Kehrl, Alma Smith, Byrnes, Casperson, Garfield, Schuitmaker, Stakoe, Phillips, Van Regenmorter, Whitmer, Lipsey, Wojno, Byrum, Vagnozzi, Cheeks, Gleason, Adamini and Lemmons, III and referred to the Committee on Insurance.

 

     A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

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

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 3406s. An insurer that delivers, issues for delivery, or

 

renews in this state on or after January 1, 2006 an expense-

 

incurred hospital, medical, or surgical policy or certificate and a

 

health maintenance organization that issues or renews a group or

 

individual contract on or after January 1, 2006 shall provide for

 

both of the following:

 

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

 

limitations for outpatient mental health and outpatient substance

 


abuse services do not place a greater financial burden on the

 

insured or enrollee and are not more restrictive than those

 

requirements and limitations for outpatient medical services.

 

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

 

limitations for inpatient hospital mental health and inpatient

 

hospital and residential substance abuse services do not place a

 

greater financial burden on the insured or enrollee and are not

 

more restrictive than those requirements and limitations for

 

inpatient hospital medical services.