HOUSE BILL No. 5128


     October 2, 2001, Introduced by Reps. Kolb, Tabor, Neumann, Bovin, Minore, Woronchak, Thomas, Adamini, Rich Brown, Lipsey, Gieleghem,
Hansen, Richardville, Dennis, Murphy, Schauer, Voorhees, Sheltrown, Williams, Jacobs, Bogardus, Pestka, Garza, Bernero, Lemmons and McConico and
referred to the Committee on Insurance and Financial Services.


        A bill to amend 1956 PA 218, entitled

   "The insurance code of 1956,"

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

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

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           SEC. 3406l.  AN INSURER THAT DELIVERS, ISSUES FOR DELIVERY,

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      OR RENEWS IN THIS STATE ON OR AFTER JANUARY 1, 2002 AN

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      EXPENSE-INCURRED HOSPITAL, MEDICAL, OR SURGICAL POLICY OR CERTIF-

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      ICATE AND A HEALTH MAINTENANCE ORGANIZATION THAT ISSUES OR RENEWS

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      A GROUP OR INDIVIDUAL CONTRACT ON OR AFTER JANUARY 1, 2002 SHALL

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      PROVIDE FOR BOTH OF THE FOLLOWING:

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

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      LIMITATIONS FOR OUTPATIENT MENTAL HEALTH AND OUTPATIENT SUBSTANCE

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      ABUSE SERVICES DO NOT PLACE A GREATER FINANCIAL BURDEN ON THE

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      INSURED OR ENROLLEE AND ARE NOT MORE RESTRICTIVE THAN THOSE

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      REQUIREMENTS AND LIMITATIONS FOR OUTPATIENT MEDICAL SERVICES.


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

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      LIMITATIONS FOR INPATIENT HOSPITAL MENTAL HEALTH AND INPATIENT

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      HOSPITAL AND RESIDENTIAL SUBSTANCE ABUSE SERVICES DO NOT PLACE A

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      GREATER FINANCIAL BURDEN ON THE INSURED OR ENROLLEE AND ARE NOT

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      MORE RESTRICTIVE THAN THOSE REQUIREMENTS AND LIMITATIONS FOR

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      INPATIENT HOSPITAL MEDICAL SERVICES.












































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