ACCESS TO OB-GYN SERVICES - H.B. 4780 (S-2): FLOOR ANALYSIS

House Bill 4780 (Substitute S-2 as reported)

Sponsor: Representative Joseph Palamara

House Committee: Health Policy

Senate Committee: Health Policy and Senior Citizens

CONTENT

The bill would amend the Insurance Code to require insurers to permit female insureds to have access to an obstetrician-gynecologist (ob-gyn) for annual well-woman examinations and routine obstetrical and gynecologic services, if an insured were required to designate a participating primary care provider, and the insurance policy provided for annual well-woman examinations and routine obstetrical and gynecologic services.

An insurer could not require prior authorization or referral for access to an ob-gyn who was participating with the insurer. An insurer could, however, require prior authorization or referral for access to a nonparticipating ob-gyn. In addition, an insurer would have to include a description of the coverage in a communication sent to the insured or group purchaser of coverage.

Proposed MCL 500.3406j - Legislative Analyst: L. Arasim

FISCAL IMPACT

The bill would have no fiscal impact on State or local government.

Date Completed: 11-12-98 - Fiscal Analyst: J. WalkerFLOOR\HB4780 - Analysis available @ http://www.michiganlegislature.org

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.