HOUSE BILL No. 4483


     April 15, 1999, Introduced by Reps. Scranton, DeRossett, Birkholz, Ehardt, Howell, Caul, Woronchak, Richardville, Shackleton, Gilbert, Julian, Faunce, Bisbee, Kowall and Van Woerkom and referred to the Committee on Health Policy.


        A bill to amend 1956 PA 218, entitled

   "The insurance code of 1956,"

   (MCL 500.100 to 500.8302) by adding section 3406n.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 3406N.  (1) AN INSURER THAT DELIVERS, ISSUES FOR DELIV-

 2    ERY, OR RENEWS IN THIS STATE AN EXPENSE-INCURRED HOSPITAL, MEDI-

 3    CAL, OR SURGICAL POLICY OR CERTIFICATE THAT REQUIRES AN INSURED

 4    TO DESIGNATE A PARTICIPATING PRIMARY CARE PROVIDER AND PROVIDES

 5    FOR DEPENDENT CARE COVERAGE SHALL PERMIT A DEPENDENT MINOR

 6    INSURED TO ACCESS A PEDIATRICIAN FOR PEDIATRIC CARE SERVICES.

 7         (2) AN INSURER SHALL NOT REQUIRE PRIOR AUTHORIZATION OR

 8    REFERRAL FOR ACCESS UNDER SUBSECTION (1) TO A PEDIATRICIAN WHO

 9    PARTICIPATES WITH THE INSURER.  AN INSURER MAY REQUIRE PRIOR

10    AUTHORIZATION OR REFERRAL FOR ACCESS TO A NONPARTICIPATING

11    PEDIATRICIAN.


   02730'99                                                 DKH