HOUSE BILL No. 4780


     May 14, 1997, Introduced by Reps. Palamara, McBryde, Wetters, Goschka, Raczkowski, Anthony, Johnson, Willard, Martinez, Dalman, Gire, Schroer, Dobb, Bodem, Baird, Sikkema, Leland, Jellema, Oxender, Quarles, Alley and Gustafson 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 3406j.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 3406J.  (1) AN INSURER THAT DELIVERS, ISSUES FOR DELIV-

 2    ERY, OR RENEWS IN THIS STATE AN EXPENSE-INCURRED HOSPITAL, MEDI-

 3    CAL, OR SURGICAL POLICY OR CERTIFICATE THAT REQUIRES AN INSURED

 4    TO DESIGNATE A PARTICIPATING PRIMARY CARE PROVIDER SHALL PERMIT 1

 5    OR BOTH OF THE FOLLOWING WITHOUT ANY ADDITIONAL DEDUCTIBLES,

 6    COPAYMENTS, OR COINSURANCE PROVISIONS THAN THOSE THAT GENERALLY

 7    APPLY:

 8         (A) A FEMALE INSURED TO DESIGNATE A PARTICIPATING

 9    OBSTETRICIAN-GYNECOLOGIST AS HER PRIMARY CARE PROVIDER.






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 1         (B) A FEMALE INSURED TO ACCESS A PARTICIPATING

 2    OBSTETRICIAN-GYNECOLOGIST WITHOUT PRIOR AUTHORIZATION OR

 3    REFERRAL.

 4         (2) IF SUBSECTION (1) APPLIES, NOTICE OF AN INSURED'S RIGHT

 5    UNDER SUBSECTION (1) SHALL BE INCLUDED IN COMMUNICATIONS SENT TO

 6    THE INSURED OR GROUP PURCHASER OF COVERAGE.

 7         (3) THIS SECTION TAKES EFFECT JUNE 1, 1997.










































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