SENATE BILL No. 50

 

 

January 20, 2011, Introduced by Senators WARREN, YOUNG, GREGORY, HOPGOOD, WHITMER, HOOD, HUNTER, GLEASON and BIEDA and referred to the Committee on Insurance.

 

 

 

     A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

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

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 3406s. (1) An insurer that delivers, issues for delivery,

 

or renews in this state on or after January 1, 2012 an expense-

 

incurred hospital, medical, or surgical policy or certificate and a

 

health maintenance organization that issues or renews a group or

 

individual contract on or after January 1, 2012 shall provide for

 

both of the following:

 

     (a) That cost-sharing requirements and benefit or service

 

limitations for outpatient mental health services, including, but

 

not limited to, autism spectrum disorder, and outpatient substance

 

abuse services do not place a greater financial burden on the

 


insured or enrollee and are not more restrictive than those

 

requirements and limitations for outpatient medical services.

 

     (b) That cost-sharing requirements and benefit or service

 

limitations for inpatient hospital mental health services,

 

including, but not limited to, autism spectrum disorder, and

 

inpatient hospital and residential substance abuse services do not

 

place a greater financial burden on the insured or enrollee and are

 

not more restrictive than those requirements and limitations for

 

inpatient hospital medical services.

 

     (2) As used in this section, "autism spectrum disorder" means

 

any of the pervasive developmental disorders as defined by the most

 

recent edition of the diagnostic and statistical manual of mental

 

disorders (DSM), including autistic disorder, Asperger's disorder,

 

and pervasive developmental disorder not otherwise specified.