January 24, 2006, Introduced by Senators BISHOP, GEORGE, CROPSEY, KUIPERS, BIRKHOLZ, STAMAS, HARDIMAN, McMANUS, BROWN, TOY and CASSIS and referred to the Committee on Health Policy.
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
(MCL 400.1 to 400.119b) by adding section 109i.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 109i. (1) All adult medical assistance recipients shall
be offered the opportunity to sign a medical assistance personal
responsibility agreement.
(2) An adult medical assistance recipient who signs a personal
responsibility agreement offered under subsection (1) shall be
charged a premium that is 25% as large as the premium paid by an
adult who did not sign a personal responsibility agreement or who
has violated the terms of his or her personal responsibility
agreement.
(3) The personal responsibility agreement may include at
minimum all of the following requirements:
(a) The medical assistance recipient shall not smoke.
(b) The medical assistance recipient shall attend all
scheduled medical appointments.
(c) The medical assistance recipient shall exercise regularly.
(d) If the medical assistance recipient has a child, the child
shall be current on his or her immunizations.
(e) The medical assistance recipient shall abstain from
abusing controlled substances and narcotics.
(4) All adult medical assistance recipients, whether or not
they have signed a personal responsibility agreement, shall have an
annual health assessment with a physician.
(5) At the annual health assessment required under subsection
(4), an adult medical assistance recipient who has signed a
personal responsibility agreement shall be required to submit to a
test to determine whether or not he or she has smoked.
(6) If an adult medical assistance recipient who has signed a
personal responsibility agreement is found to have smoked or to
have not attended all scheduled medical appointments or if his or
her child is not current on his or her immunizations, that medical
assistance recipient is subject to the higher premium scale set for
a medical assistance recipient who did not sign the personal
responsibility agreement described in subsections (2) and (3).