House Bill 4483
Sponsor: Rep. Judith Scranton
House Bill 4484
Sponsor: Rep. Patricia Birkholz
Committee: Health Policy
Complete to 4-16-99
A SUMMARY OF HOUSE BILLS 4482-4484 AS INTRODUCED 4-15-99
The bills would, in general, require health insurers to allow a dependent minor enrollee or member to go to a participating or affiliated pediatrician for pediatric care services without having to have prior authorization or referral from a primary care provider for those insurance plans that require enrollees or members to designate participating primary care providers. A health insurer could require prior authorization or referral for access to a nonparticipating pediatrician.
House Bill 4482 would amend the Nonprofit Health Care Corporation Reform Act (MCL 550.1101 et al.) to apply to group and nongroup certificates of Blue Cross and Blue Shield of Michigan. House Bill 4483 would amend the Insurance Code (MCL 500.100 et al.) to apply to expense-incurred hospital, medical, or surgical policies and certificates of commercial health insurance companies. House Bill 4484 would amend the Public Health Code (MCL 333.1101 et al.) to apply to group and individual contracts of health maintenance organizations (HMOs).
Analyst: S. Stutzky