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.

01454'01 DKH

2

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.

01454'01 Final page. DKH