HOUSE BILL No. 4691


     April 24, 1997, Introduced by Reps. Bogardus, Quarles, Frank, Martinez, Hale, Kaza, Hanley, LaForge, Willard, Goschka, Freeman, Schauer, Brown, Callahan, Palamara, Wojno, Brater, Schroer, DeHart, Gire, Prusi, Dobronski and Bankes and referred to the Committee on Insurance.


        A bill to amend 1978 PA 368, entitled

   "Public health code,"

   (MCL 333.1101 to 333.25211) by adding section 21054u.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 21054U.  (1) IN EACH GROUP AND INDIVIDUAL CONTRACT THAT

 2    PROVIDES MASTECTOMY OR LYMPH NODE DISSECTION COVERAGE FOR THE

 3    TREATMENT OF BREAST CANCER, A HEALTH MAINTENANCE ORGANIZATION

 4    SHALL PROVIDE COVERAGE AS FOLLOWS:

 5         (A) FOR A MINIMUM OF 48 HOURS OF IN-PATIENT HOSPITAL SERV-

 6    ICES FOLLOWING A MASTECTOMY.

 7         (B) FOR A MINIMUM OF 24 HOURS OF IN-PATIENT HOSPITAL SERV-

 8    ICES FOLLOWING A LYMPH NODE DISSECTION.

 9         (2) 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:


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

 2    DATE OF THIS SECTION.

 3         (B) JANUARY 1, 1998.


















































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