SENATE BILL No. 345

March 20, 2001, Introduced by Senators SCHUETTE, HAMMERSTROM, JOHNSON and EMMONS and referred to the Committee on Health Policy.

A bill to amend 1956 PA 218, entitled

"The insurance code of 1956,"

(MCL 500.100 to 500.8302) by adding section 3516.

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1 SEC. 3516. (1) IN EACH GROUP AND INDIVIDUAL CONTRACT THAT

2 PROVIDES MASTECTOMY COVERAGE FOR THE TREATMENT OF BREAST CANCER,

3 A HEALTH MAINTENANCE ORGANIZATION SHALL PROVIDE COVERAGE FOR A

4 MINIMUM OF 48 HOURS OF IN-PATIENT HOSPITAL SERVICES FOLLOWING A

5 MASTECTOMY.

6 (2) SUBSECTION (1) DOES NOT APPLY IF THE DECISION TO DIS-

7 CHARGE PRIOR TO THE EXPIRATION OF THE MINIMUM LENGTH OF STAY IS

8 MADE BY AN ATTENDING PROVIDER IN CONSULTATION WITH THE PATIENT.

9 (3) A HEALTH MAINTENANCE ORGANIZATION SHALL PROVIDE WRITTEN

10 PROMINENT NOTICE TO ITS ENROLLEES CONCERNING THE COVERAGE

11 REQUIRED BY THIS SECTION AT THE EARLIEST OF THE FOLLOWING:

00486'01 DKH

2

1 (A) THE FIRST MAILING TO THE ENROLLEE AFTER THE EFFECTIVE

2 DATE OF THIS SECTION.

3 (B) JANUARY 1, 2002.

00486'01 Final page. DKH