HOUSE BILL No. 4393
February 27, 1997, Introduced by Reps. Schauer, Freeman, DeHart, Mans, Anthony, Cherry, Schroer, LaForge, Martinez, Willard, Hammerstrom, Wojno, Gire, Bobier, Law, Llewellyn, Crissman, Schermesser, Scott, Brown, Goschka, Callahan, Bogardus, Baird, Baade, Frank, Green, Thomas, Bodem, Profit, Gubow, Griffin, Leland, Murphy, Rocca, Scranton and Brater 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 501b. THE PEOPLE OF THE STATE OF MICHIGAN ENACT: 1 SEC. 501B. A HEALTH CARE CORPORATION SHALL NOT PROHIBIT OR 2 DISCOURAGE A HEALTH CARE PROVIDER FROM DISCUSSING WITH A SUB- 3 SCRIBER OR PROVIDER ANY OF THE FOLLOWING: 4 (A) HEALTH CARE TREATMENTS AND SERVICES. 5 (B) QUALITY ASSURANCE PLANS REQUIRED BY LAW, IF APPLICABLE. 6 (C) THE FINANCIAL RELATIONSHIPS BETWEEN THE HEALTH CARE COR- 7 PORATION AND THE HEALTH CARE PROVIDER INCLUDING ALL OF THE FOL- 8 LOWING AS APPLICABLE: 9 (i) WHETHER A FEE-FOR-SERVICE ARRANGEMENT EXISTS, UNDER 10 WHICH THE PROVIDER IS PAID A SPECIFIED AMOUNT FOR EACH COVERED 11 SERVICE RENDERED TO THE PARTICIPANT. 01836'97 * DKH 2 1 (ii) WHETHER A CAPITATION ARRANGEMENT EXISTS, UNDER WHICH A 2 FIXED AMOUNT IS PAID TO THE PROVIDER FOR ALL COVERED SERVICES 3 THAT ARE OR MAY BE RENDERED TO EACH COVERED INDIVIDUAL OR 4 FAMILY. 5 (iii) WHETHER PAYMENTS TO PROVIDERS ARE MADE BASED ON STAN- 6 DARDS RELATING TO COST, QUALITY, OR PATIENT SATISFACTION. 01836'97 * Final page. DKH