HOUSE BILL No. 4794

 

May 17, 2005, Introduced by Reps. Kolb, Farrah, Tobocman, Brown, Bieda, Meisner, Lipsey, Gillard, Miller, Kathleen Law, Anderson, Condino, Pastor, Zelenko, Alma Smith, Byrnes, Casperson, Garfield, Espinoza, Schuitmaker, Stakoe, Phillips, Van Regenmorter, Whitmer, Wojno, Byrum, Vagnozzi, Williams, Cheeks, Cushingberry, Gleason, Adamini and Lemmons, III and referred to the Committee on Insurance.

 

     A bill to amend 1980 PA 350, entitled

 

"The nonprofit health care corporation reform act,"

 

(MCL 550.1101 to 550.1704) by adding section 416e.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 416e. A health care corporation that issues or renews in

 

this state on or after January 1, 2006 a group or nongroup

 

certificate shall provide for both of the following:

 

     (a) That cost-sharing requirements and benefit or service

 

limitations for outpatient mental health and outpatient substance

 

abuse services do not place a greater financial burden on the

 

member and are not more restrictive than those requirements and

 

limitations for outpatient medical services.

 

     (b) That cost-sharing requirements and benefit or service


 

limitations for inpatient hospital mental health and inpatient

 

hospital and residential substance abuse services do not place a

 

greater financial burden on the member and are not more restrictive

 

than those requirements and limitations for inpatient hospital

 

medical services.