SENATE BILL NO. 30


   January 13, 1999, Introduced by Senator SCHUETTE 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 21054u.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

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

 2    PROVIDES MASTECTOMY COVERAGE FOR THE TREATMENT OF BREAST CANCER,

 3    A HEALTH MAINTENANCE ORGANIZATION SHALL PROVIDE COVERAGE FOR A

 4    MINIMUM OF 48 HOURS OF IN-PATIENT HOSPITAL SERVICES FOLLOWING A

 5    MASTECTOMY.

 6         (2) SUBSECTION (1) DOES NOT APPLY IF THE DECISION TO DIS-

 7    CHARGE PRIOR TO THE EXPIRATION OF THE MINIMUM LENGTH OF STAY IS

 8    MADE BY AN ATTENDING PROVIDER IN CONSULTATION WITH THE PATIENT.

 9         (3) 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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                                   2

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

 2    DATE OF THIS SECTION.

 3         (B) JANUARY 1, 2000.


















































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