PHYSICIAN CERTIFICATION                                                                    S.B. 608 & 609:

                                                                                  SUMMARY OF INTRODUCED BILL

                                                                                                         IN COMMITTEE

 

 

 

 

 

 

 

 

 

Senate Bills 608 and 609 (as introduced 11-10-15)

Sponsor:  Senator Peter MacGregor

Committee:  Health Policy

 

Date Completed:  3-21-16

 


CONTENT

 

Senate Bills 608 would amend the Insurance Code to prohibit insurers from conditioning the payment of a claim on a physician's national or regional certification not otherwise required under the Public Health Code. Senate Bill 609 would amend the Public Health Code to prohibit the Department of Licensing and Regulatory Affairs or a professional board from requiring a physician to maintain such certification, and prohibit hospitals from denying admitting privileges on that basis.

 

The bills are described in more detail below.

 

Senate Bill 608

 

The bill would prohibit an insurer that delivered, issued for delivery, or renewed an expense-incurred hospital, medical, or surgical policy or certificate issued under Chapter 34 (Disability Insurance Policies) or Chapter 36 (Group and Blanket Disability Insurance) of the Insurance Code, or a health maintenance organization that issued a health maintenance contract, from requiring, as a condition of payment or reimbursement of a claim, an allopathic or osteopathic physician to maintain a national or regional certification not otherwise specifically required for licensure under Article 15 (Occupations) of the Public Health Code.

 

Senate Bill 609

 

The bill would prohibit the Department of Licensing and Regulatory Affairs, the Board of Medicine, or the Board of Osteopathic Medicine and Surgery from requiring, by order, rule, or other method, a physician applicant or licensee under its jurisdiction to maintain a national or regional certification that was not otherwise specifically required under Article 15 as a condition of licensure or license renewal.

 

The bill also would prohibit the owner, operator, or governing body of a licensed hospital from denying admitting privileges to a physician based solely upon whether he or she maintained a national or regional certification that was not otherwise specifically required in Article 15.

 

Proposed MCL 200.2212d (S.B. 608)                                 Legislative Analyst:  Julie Cassidy

Proposed MCL 333.16147 & 333.21514 (S.B. 609)

 

 

 

 

 


FISCAL IMPACT

 

Senate Bill 608

 

The bill would have no fiscal impact on State or local government.  While the legislation could result in more allopathic and osteopathic physicians receiving reimbursement from insurers, there is no indication that this would change the overall demand for health care services.

 

Senate Bill 609

 

The bill would have no fiscal impact on State or local government.

 

                                                                                    Fiscal Analyst:  Steve Angelotti

Josh Sefton

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.