REQUIRE HMOs TO COVER MEDICALLY NECESSARY SERVICES
House Bill 5536
Sponsor: Rep. Chris Kolb
Committee: Health Policy
Complete to 1-16-02
A SUMMARY OF HOUSE BILL 5536 AS INTRODUCED 12-13-01
Chapter 35 of the Insurance Code regulates health maintenance organizations (HMOs) and requires that HMO contracts include "basic health services". House Bill 5536 would amend the code (MCL 500.3501) to revise the operative definition of "basic health services" to include, in addition to the various services currently specified, other health services that are considered medically necessary by the treating physician.
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This analysis was prepared by nonpartisan House staff for use by House members in their deliberations, and does not constitute an official statement of legislative intent.