HOUSE BILL No. 5849


     May 12, 1998, Introduced by Reps. Perricone, Brater, Martinez, DeHart, Thomas, Schroer, Gire, Hammerstrom, McNutt, Ciaramitaro, Gubow, Bodem, Hale, DeVuyst, Schauer, Profit, Johnson, Vaughn, London, Parks, Agee, Scott, Prusi, Godchaux, Voorhees, Green, LaForge and Raczkowski and referred to the Committee on Health Policy.


        A bill to amend 1978 PA 368, entitled

   "Public health code,"

   (MCL 333.1101 to 333.25211) by adding section 21053e.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 21053E.  A HEALTH MAINTENANCE ORGANIZATION THAT ISSUES

 2    OR RENEWS IN THIS STATE ON OR AFTER JANUARY 1, 1999 A HEALTH

 3    MAINTENANCE GROUP OR INDIVIDUAL CONTRACT SHALL PROVIDE FOR BOTH

 4    OF THE FOLLOWING:

 5         (A) THAT COST-SHARING REQUIREMENTS AND BENEFIT OR SERVICE

 6    LIMITATIONS FOR OUTPATIENT MENTAL HEALTH AND OUTPATIENT SUBSTANCE

 7    ABUSE SERVICES DO NOT PLACE A GREATER FINANCIAL BURDEN ON THE

 8    ENROLLEE AND ARE NOT MORE RESTRICTIVE THAN THOSE REQUIREMENTS AND

 9    LIMITATIONS FOR OUTPATIENT MEDICAL SERVICES.

10         (B) THAT COST-SHARING REQUIREMENTS AND BENEFIT OR SERVICE

11    LIMITATIONS FOR INPATIENT HOSPITAL MENTAL HEALTH AND INPATIENT


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 1    HOSPITAL AND RESIDENTIAL SUBSTANCE ABUSE SERVICES DO NOT PLACE A

 2    GREATER FINANCIAL BURDEN ON THE ENROLLEE AND ARE NOT MORE

 3    RESTRICTIVE THAN THOSE REQUIREMENTS AND LIMITATIONS FOR INPATIENT

 4    HOSPITAL MEDICAL SERVICES.
















































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