HOUSE BILL No. 4482


     April 15, 1999, Introduced by Reps. Howell, DeRossett, Birkholz, Caul, Woronchak, Richardville, Shackleton, Gilbert, Julian, Faunce, Bisbee, Kowall, Hager, Van Woerkom and Scranton 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 401g.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 401G.  (1) A HEALTH CARE CORPORATION CERTIFICATE THAT

 2    REQUIRES A MEMBER TO DESIGNATE A PARTICIPATING PRIMARY CARE PRO-

 3    VIDER AND PROVIDES FOR DEPENDENT CARE COVERAGE SHALL PERMIT A

 4    DEPENDENT MINOR MEMBER TO ACCESS A PEDIATRICIAN FOR PEDIATRIC

 5    CARE SERVICES.

 6         (2) A HEALTH CARE CORPORATION SHALL NOT REQUIRE PRIOR AUTHO-

 7    RIZATION OR REFERRAL FOR ACCESS UNDER SUBSECTION (1) TO A PEDIA-

 8    TRICIAN WHO PARTICIPATES WITH THE HEALTH CARE CORPORATION.  A

 9    HEALTH CARE CORPORATION MAY REQUIRE PRIOR AUTHORIZATION OR

10    REFERRAL FOR ACCESS TO A NONPARTICIPATING PEDIATRICIAN.




   02729'99                                                 DKH