March 13, 2003, Introduced by Senators GILBERT, GARCIA, ALLEN, HAMMERSTROM, VAN WOERKOM, GEORGE, JELINEK, GOSCHKA, BIRKHOLZ, CROPSEY, JOHNSON, JACOBS, HARDIMAN, BERNERO, CLARKE and KUIPERS 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 418a.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
1 Sec. 418a. (1) A health care corporation certificate
2 delivered, issued for delivery, or renewed in this state that
3 provides benefits for medical transportation services shall
4 provide for direct reimbursement to any provider of covered
5 medical transportation services if that provider has not received
6 payment for those services from any other source.
7 (2) Subsection (1) does not apply to a transaction between a
8 health care corporation and a medical transportation service
9 provider if the parties have entered into a contract providing
10 for direct payment.
11 (3) Subsection (1) is satisfied if a member files a claim for
1 the medical transportation service with the health care
2 corporation, the health care corporation pays the medical
3 transportation service provider directly, and the medical
4 transportation service provider does not demand payment from the
5 member until receiving payment from the health care corporation,
6 after which the medical transportation service provider may
7 demand payment from the member for any unpaid portion of the
8 provider fee.
9 Enacting section 1. This amendatory act takes effect
10 January 1, 2004.