SENATE BILL No. 101
February 6, 2001, Introduced by Senator HAMMERSTROM 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 3406l.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
1 SEC. 3406l. AN INSURER THAT DELIVERS, ISSUES FOR DELIVERY,
2 OR RENEWS IN THIS STATE ON OR AFTER JANUARY 1, 2002 AN
3 EXPENSE-INCURRED HOSPITAL, MEDICAL, OR SURGICAL POLICY OR CERTIF-
4 ICATE AND A HEALTH MAINTENANCE ORGANIZATION THAT ISSUES OR RENEWS
5 A GROUP OR INDIVIDUAL CONTRACT ON OR AFTER JANUARY 1, 2002 SHALL
6 PROVIDE FOR BOTH OF THE FOLLOWING:
7 (A) THAT COST-SHARING REQUIREMENTS AND BENEFIT OR SERVICE
8 LIMITATIONS FOR OUTPATIENT MENTAL HEALTH AND OUTPATIENT SUBSTANCE
9 ABUSE SERVICES DO NOT PLACE A GREATER FINANCIAL BURDEN ON THE
10 INSURED OR ENROLLEE AND ARE NOT MORE RESTRICTIVE THAN THOSE
11 REQUIREMENTS AND LIMITATIONS FOR OUTPATIENT MEDICAL SERVICES.
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1 (B) THAT COST-SHARING REQUIREMENTS AND BENEFIT OR SERVICE
2 LIMITATIONS FOR INPATIENT HOSPITAL MENTAL HEALTH AND INPATIENT
3 HOSPITAL AND RESIDENTIAL SUBSTANCE ABUSE SERVICES DO NOT PLACE A
4 GREATER FINANCIAL BURDEN ON THE INSURED OR ENROLLEE AND ARE NOT
5 MORE RESTRICTIVE THAN THOSE REQUIREMENTS AND LIMITATIONS FOR
6 INPATIENT HOSPITAL MEDICAL SERVICES.
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